Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $660.69	Professional		$371.54	$457.09	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $2,290.87	Facility		$630.96	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,778.28	Professional		$524.81	$758.58	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $758.58	Facility		$407.38	$501.19	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $891.25	Professional		$457.09	$758.58	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $1,621.81	Facility		$741.31	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,047.13	Professional		$457.09	$691.83	$1,047.13