Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $776.25	Professional		$389.05	$489.78	$776.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $724.44	Professional		$354.81	$398.11	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $851.14	Professional		$457.09	$630.96	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $707.95	Professional		$32.36	$33.11	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $977.24	Facility		$457.09	$588.84	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,096.48	Professional		$467.74	$660.69	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $912.01	Professional		$467.74	$645.65	$912.01