Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $7,762.47	Facility		$288.40	$389.05	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $1,047.13	Professional		$229.09	$407.38	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $645.65 / $1,778.28	Professional	50	$645.65	$645.65	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $223.87	Professional		$181.97	$199.53	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $3,235.94	Facility		$891.25	$1,949.84	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $416.87	Professional		$251.19	$281.84	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $512.86 / $812.83	Professional		$223.87	$512.86	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $436.52	Professional		$32.36	$87.10	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $588.84 / $1,047.13	Facility		$281.84	$588.84	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $812.83	Professional		$331.13	$562.34	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,398.83 / $2,884.03	Facility		$346.74	$2,398.83	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $891.25	Professional		$489.78	$660.69	$891.25