Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,819.70 / $7,244.36	Facility		$281.84	$1,819.70	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,621.81 / $5,623.41 / $5,623.41	Facility	50	$1,621.81	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $1,122.02	Professional		$186.21	$407.38	$1,122.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $758.58 / $2,754.23	Professional	50	$281.84	$758.58	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $426.58	Professional		$169.82	$323.59	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $245.47 / $575.44 / $630.96	Professional	50	$245.47	$575.44	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,691.53 / $4,466.84	Facility		$1,096.48	$2,691.53	$4,466.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $512.86	Professional		$229.09	$389.05	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $812.83	Professional		$218.78	$407.38	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $436.52 / $794.33	Facility		$186.21	$436.52	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $794.33	Professional		$229.09	$436.52	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,606.93 / $8,511.38	Facility		$645.65	$6,606.93	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $478.63 / $794.33	Professional		$288.40	$478.63	$794.33