Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.06 / $7,560.90 / $8,644.27	Facility		$1,396.06	$7,560.90	$8,644.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,396.06 / $1,493.04 / $2,816.19	Professional		$1,396.06	$1,493.04	$2,816.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,233.66 / $1,233.66 / $1,233.66	Professional		$1,233.66	$1,233.66	$1,233.66
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 $1,048.11 / $1,556.35 / $2,387.28	Professional		$1,048.11	$1,556.35	$2,387.28
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 $1,105.33 / $2,093.41 / $2,784.52	Professional		$1,105.33	$2,093.41	$2,784.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,859.33 / $2,510.09	Professional		$32.34	$1,859.33	$2,510.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,466.98 / $2,116.21 / $6,700.00	Facility		$1,466.98	$2,116.21	$6,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,105.33 / $2,292.69 / $2,911.57	Professional		$1,105.33	$2,292.69	$2,911.57
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 $1,726.73 / $1,989.40 / $2,739.42	Professional		$1,726.73	$1,989.40	$2,739.42