Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.26 / $1,378.00 / $7,838.38	Facility		$303.26	$1,378.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.81 / $705.32	Professional		$138.03	$246.81	$705.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $342.56 / $342.56	Professional	50	$342.56	$342.56	$342.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $146.41 / $253.70	Professional		$146.41	$146.41	$253.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.68 / $2,833.26 / $4,616.76	Facility		$772.68	$2,833.26	$4,616.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $247.80 / $387.34	Professional		$148.68	$247.80	$387.34
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 $146.41 / $267.06 / $482.33	Professional		$146.41	$267.06	$482.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $230.96 / $519.65	Professional		$32.34	$230.96	$519.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $271.14 / $392.12	Facility		$141.12	$271.14	$392.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.41 / $271.07 / $482.33	Professional		$146.41	$271.07	$482.33
United Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $3,085.00 / $5,060.00	Facility		$582.00	$3,085.00	$5,060.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $371.77 / $475.19	Professional		$291.60	$371.77	$475.19