Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.68 / $1,031.79 / $1,031.79	Facility		$449.68	$1,031.79	$1,031.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.68 / $571.90 / $640.77	Professional		$449.68	$571.90	$640.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $536.91 / $536.91 / $536.91	Professional		$536.91	$536.91	$536.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.41 / $2,670.95 / $4,352.28	Facility		$728.41	$2,670.95	$4,352.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.64 / $968.35 / $1,750.45	Professional		$681.64	$968.35	$1,750.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,055.90	Professional		$50.00	$70.00	$1,055.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $503.72 / $550.62 / $647.79	Facility		$503.72	$550.62	$647.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $649.36 / $876.35 / $969.23	Professional		$649.36	$876.35	$969.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.29 / $1,047.29 / $2,320.69	Facility		$1,047.29	$1,047.29	$2,320.69
United Facility/Professional Professional Modifier Low / Median / High Price $720.96 / $889.70 / $1,301.13	Professional		$720.96	$889.70	$1,301.13