Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.23 / $1,497.60 / $7,838.38	Facility		$881.23	$1,497.60	$7,838.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,497.60 / $1,497.60 / $1,497.60	Facility	50	$1,497.60	$1,497.60	$1,497.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.12 / $583.07 / $1,405.65	Professional		$505.12	$583.07	$1,405.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $706.01 / $706.01 / $706.01	Professional		$706.01	$706.01	$706.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,892.76 / $6,554.12 / $10,170.43	Facility		$1,892.76	$6,554.12	$10,170.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.86 / $730.77 / $1,017.79	Professional		$472.86	$730.77	$1,017.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.74 / $848.16 / $1,084.64	Professional		$526.74	$848.16	$1,084.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $946.00	Professional		$32.34	$32.34	$946.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.31 / $710.49 / $1,241.00	Facility		$501.31	$710.49	$1,241.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $570.38 / $887.52 / $1,482.38	Professional		$570.38	$887.52	$1,482.38
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $6,599.00 / $8,422.00	Facility		$639.00	$6,599.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.02 / $857.01 / $1,290.60	Professional		$615.02	$857.01	$1,290.60