Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.63 / $7,838.38 / $8,644.27	Facility		$702.63	$7,838.38	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.63 / $926.81 / $2,338.00	Professional		$702.63	$926.81	$2,338.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $550.91 / $550.91	Professional		$550.91	$550.91	$550.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,795.51 / $13,142.84 / $20,394.54	Facility		$3,795.51	$13,142.84	$20,394.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.48 / $689.84 / $1,369.63	Professional		$655.48	$689.84	$1,369.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.54 / $1,000.54 / $1,258.09	Professional		$1,000.54	$1,000.54	$1,258.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $824.13 / $1,112.57	Professional		$32.34	$824.13	$1,112.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $771.03 / $991.24 / $1,405.25	Facility		$771.03	$991.24	$1,405.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,239.68 / $1,239.68 / $1,239.68	Professional		$1,239.68	$1,239.68	$1,239.68
United Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $7,773.00 / $13,891.00	Facility		$790.00	$7,773.00	$13,891.00
United Facility/Professional Professional Modifier Low / Median / High Price $874.58 / $1,099.45 / $2,133.00	Professional		$874.58	$1,099.45	$2,133.00