Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $2,145.78 / $7,838.38	Facility		$126.06	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $129.15 / $243.60	Professional		$102.76	$129.15	$243.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.80 / $111.80 / $111.80	Professional		$111.80	$111.80	$111.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,531.26 / $8,742.29 / $14,070.34	Facility		$2,531.26	$8,742.29	$14,070.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $125.72 / $207.41	Professional		$65.81	$125.72	$207.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $175.11 / $240.09	Professional		$83.68	$175.11	$240.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.34 / $225.77	Professional		$32.34	$100.34	$225.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $162.11 / $201.17	Facility		$117.78	$162.11	$201.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $175.11 / $240.09	Professional		$93.02	$175.11	$240.09
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $191.17 / $238.56	Professional		$148.28	$191.17	$238.56