Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.73 / $2,145.78 / $7,838.38	Facility		$639.73	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $550.91 / $998.45	Professional		$453.61	$550.91	$998.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $559.04 / $559.04	Professional		$559.04	$559.04	$559.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,906.05 / $13,992.02 / $21,712.27	Facility		$3,906.05	$13,992.02	$21,712.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.97 / $704.92 / $895.21	Professional		$499.97	$704.92	$895.21
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 $434.79 / $815.24 / $1,049.73	Professional		$434.79	$815.24	$1,049.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $842.15 / $1,136.90	Professional		$32.34	$842.15	$1,136.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.05 / $689.68 / $875.00	Facility		$568.05	$689.68	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.79 / $815.24 / $1,049.73	Professional		$434.79	$815.24	$1,049.73
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.34 / $793.10 / $1,010.99	Professional		$575.34	$793.10	$1,010.99