Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,513.56	Professional		$741.31	$954.99	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,549.93 / $16,218.10	Facility		$4,466.84	$9,549.93	$16,218.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,698.24	Professional		$1,071.52	$1,445.44	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,630.27	Professional		$851.14	$851.14	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,691.53	Professional		$1,445.44	$1,819.70	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,318.26 / $1,819.70	Facility		$512.86	$1,318.26	$1,819.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,089.30	Professional		$851.14	$851.14	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $2,187.76	Facility		$616.60	$891.25	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,202.26	Professional		$724.44	$794.33	$1,202.26