Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $7,762.47	Facility		$724.44	$1,174.90	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,479.11	Professional		$575.44	$831.76	$1,479.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,888.44 / $9,120.11	Facility		$2,344.23	$5,888.44	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,096.48	Professional		$645.65	$870.96	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,258.93	Professional		$501.19	$851.14	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $125.89 / $1,047.13	Professional		$32.36	$125.89	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,174.90	Facility		$537.03	$812.83	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $812.83 / $1,122.02	Professional		$436.52	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $6,025.60 / $10,471.29	Facility		$645.65	$6,025.60	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,230.27	Professional		$588.84	$851.14	$1,230.27