Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,073.80 / $9,772.37	Facility		$776.25	$4,073.80	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $2,290.87	Professional		$478.63	$676.08	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $588.84	Professional		$257.04	$501.19	$588.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $10,964.78 / $17,782.79	Facility		$1,949.84	$10,964.78	$17,782.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $758.58	Professional		$457.09	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,995.26	Facility		$891.25	$891.25	$1,995.26
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility	22	$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	AS	$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $954.99	Professional		$524.81	$707.95	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,148.15	Facility		$501.19	$660.69	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,174.90	Professional		$537.03	$741.31	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,762.47 / $15,488.17	Facility		$794.33	$7,762.47	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,071.52	Professional		$512.86	$707.95	$1,071.52