Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,585.78 / $8,709.64	Facility		$1,698.24	$7,585.78	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $3,235.94	Professional		$1,380.38	$1,659.59	$3,235.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $14,791.08 / $23,988.33	Facility		$6,760.83	$14,791.08	$23,988.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,398.83	Professional		$1,071.52	$1,548.82	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $2,754.23	Professional		$1,096.48	$2,089.30	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,862.09	Professional		$32.36	$33.11	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,235.94	Facility		$1,318.26	$1,949.84	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,630.27	Professional		$1,096.48	$1,905.46	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $10,471.29 / $23,442.29	Facility		$891.25	$10,471.29	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,754.23	Professional		$1,621.81	$2,187.76	$2,754.23