Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,000.00 / $5,011.87	Facility		$151.36	$1,000.00	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $275.42 / $676.08	Professional		$97.72	$275.42	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $239.88	Professional		$81.28	$109.65	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $3,311.31	Facility		$794.33	$1,995.26	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $346.74	Professional		$125.89	$263.03	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $602.56	Facility		$177.83	$177.83	$602.56
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $144.54 / $144.54 / $144.54	Facility	52	$144.54	$144.54	$144.54
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	53	$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $501.19	Professional		$123.03	$251.19	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $537.03	Facility		$104.71	$269.15	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $275.42 / $512.86	Professional		$123.03	$275.42	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $549.54	Professional		$131.83	$269.15	$549.54