Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,536.90 / $7,838.38	Facility		$1,000.00	$7,536.90	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $881.74 / $1,556.07	Professional		$750.87	$881.74	$1,556.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.20 / $832.20 / $832.20	Professional		$832.20	$832.20	$832.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,965.91 / $13,992.02 / $21,712.27	Facility		$3,965.91	$13,992.02	$21,712.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $791.46 / $1,048.91 / $1,494.27	Professional		$791.46	$1,048.91	$1,494.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $3,800.00	Facility		$3,800.00	$3,800.00	$3,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.61 / $1,273.90 / $1,748.08	Professional		$706.61	$1,273.90	$1,748.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,253.10 / $1,691.69	Professional		$32.34	$1,253.10	$1,691.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $1,159.05 / $3,675.00	Facility		$854.15	$1,159.05	$3,675.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.61 / $1,273.90 / $1,659.52	Professional		$706.61	$1,273.90	$1,659.52
United Facility/Professional Facility Modifier Low / Median / High Price $899.00 / $8,842.00 / $16,897.00	Facility		$899.00	$8,842.00	$16,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.77 / $1,246.56 / $1,790.33	Professional		$959.77	$1,246.56	$1,790.33