Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,380.38 / $7,762.47	Facility		$588.84	$1,380.38	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $758.58	Professional		$229.09	$380.19	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,128.61 / $7,943.28	Facility		$1,778.28	$5,128.61	$7,943.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $457.09 / $562.34	Professional		$141.25	$457.09	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,659.59	Facility		$645.65	$645.65	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $660.69	Professional		$257.04	$398.11	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $537.03	Professional		$32.36	$33.11	$537.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $660.69	Facility		$257.04	$389.05	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $724.44	Professional		$275.42	$436.52	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $12,022.64	Facility		$645.65	$6,025.60	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $676.08	Professional		$257.04	$389.05	$676.08