Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.82 / $1,047.00 / $7,838.38	Facility		$255.82	$1,047.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.83 / $426.57 / $1,297.71	Professional		$336.83	$426.57	$1,297.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $639.87 / $639.87 / $639.87	Professional	50	$639.87	$639.87	$639.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $200.67 / $225.13	Professional		$200.67	$200.67	$225.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.03 / $1,965.50 / $3,202.75	Facility		$536.03	$1,965.50	$3,202.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.64 / $282.76 / $423.91	Professional		$247.64	$282.76	$423.91
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 $225.13 / $565.04 / $899.99	Professional		$225.13	$565.04	$899.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $309.81 / $432.06	Professional		$32.34	$309.81	$432.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $411.14 / $488.51 / $875.00	Facility		$411.14	$488.51	$875.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $581.61 / $868.39	Professional		$330.00	$581.61	$868.39
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $2,358.00 / $2,877.00	Facility		$350.00	$2,358.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.58 / $672.56 / $1,052.09	Professional		$516.58	$672.56	$1,052.09