Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.84 / $651.84 / $651.84	Facility		$651.84	$651.84	$651.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.84 / $924.12 / $1,016.53	Professional		$651.84	$924.12	$1,016.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $796.78 / $796.78 / $830.64	Professional		$796.78	$796.78	$830.64
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 $980.78 / $1,383.00 / $2,518.62	Professional		$980.78	$1,383.00	$2,518.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,689.43	Professional		$50.00	$70.00	$1,689.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $730.24 / $880.99 / $1,036.46	Facility		$730.24	$880.99	$1,036.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $956.97 / $1,260.89 / $1,460.36	Professional		$956.97	$1,260.89	$1,460.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.34 / $1,396.56 / $2,024.50	Professional		$1,131.34	$1,396.56	$2,024.50