Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,174.90 / $7,762.47	Facility		$281.84	$1,174.90	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $1,659.59	Professional		$194.98	$741.31	$1,659.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $5,248.07	Facility		$1,479.11	$3,235.94	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $870.96 / $1,122.02	Professional		$239.88	$870.96	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,023.29	Facility		$346.74	$346.74	$1,023.29
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	52	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.18 / $69.18 / $69.18	Facility	53	$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $1,659.59	Professional		$239.88	$436.52	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,122.02	Professional		$32.36	$33.11	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $741.31 / $1,778.28	Facility		$204.17	$741.31	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $1,778.28	Professional		$239.88	$524.81	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $8,317.64	Facility		$562.34	$3,467.37	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $776.25 / $1,778.28	Professional		$257.04	$776.25	$1,778.28