Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.77 / $3,950.48 / $4,158.72	Facility		$1,549.77	$3,950.48	$4,158.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.71 / $1,035.85 / $1,784.45	Professional		$720.71	$1,035.85	$1,784.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $832.85 / $832.85	Professional		$832.85	$832.85	$832.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.94 / $4,190.93 / $6,829.07	Facility		$1,142.94	$4,190.93	$6,829.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.50 / $662.73 / $1,546.81	Professional		$114.50	$662.73	$1,546.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.29 / $1,441.55 / $1,850.92	Professional		$1,040.29	$1,441.55	$1,850.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $174.68 / $1,326.43	Professional		$32.34	$174.68	$1,326.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.85 / $919.47 / $1,239.82	Facility		$736.85	$919.47	$1,239.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.29 / $1,539.48 / $2,072.94	Professional		$1,040.29	$1,539.48	$2,072.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.51 / $1,597.58 / $2,217.62	Professional		$1,223.51	$1,597.58	$2,217.62