Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.50 / $7,839.76 / $8,644.27	Facility		$1,960.50	$7,839.76	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.94 / $1,294.27 / $2,441.27	Professional		$1,199.94	$1,294.27	$2,441.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,061.17 / $1,061.17 / $1,061.17	Professional		$1,061.17	$1,061.17	$1,061.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,040.74 / $14,816.60 / $24,143.45	Facility		$4,040.74	$14,816.60	$24,143.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.37 / $1,337.80 / $2,271.37	Professional		$996.37	$1,337.80	$2,271.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,700.00 / $6,700.00 / $6,700.00	Facility		$6,700.00	$6,700.00	$6,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.12 / $1,799.16 / $2,394.64	Professional		$906.12	$1,799.16	$2,394.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,598.23 / $2,157.61	Professional		$32.34	$1,598.23	$2,157.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,261.90 / $1,844.42 / $6,700.00	Facility		$1,261.90	$1,844.42	$6,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $906.12 / $1,970.48 / $2,528.71	Professional		$906.12	$1,970.48	$2,528.71
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 $1,498.34 / $1,885.59 / $2,430.04	Professional		$1,498.34	$1,885.59	$2,430.04