Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.57 / $5,000.27 / $7,838.38	Facility		$253.57	$5,000.27	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $217.28 / $406.26	Professional		$130.50	$217.28	$406.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $69.45 / $69.45	Professional		$69.45	$69.45	$69.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.31 / $5,761.68 / $9,388.58	Facility		$1,571.31	$5,761.68	$9,388.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $209.76 / $338.98	Professional		$122.19	$209.76	$338.98
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 $138.90 / $251.41 / $400.44	Professional		$138.90	$251.41	$400.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $195.20 / $439.20	Professional		$32.34	$195.20	$439.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $144.71 / $219.56 / $310.27	Facility		$144.71	$219.56	$310.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.90 / $251.41 / $395.04	Professional		$138.90	$251.41	$395.04
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.44 / $306.33 / $466.58	Professional		$231.44	$306.33	$466.58