Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.25 / $191.25 / $191.25	Facility		$191.25	$191.25	$191.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.86 / $452.51 / $1,863.00	Professional		$335.86	$452.51	$1,863.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $684.93 / $684.93 / $684.93	Professional		$684.93	$684.93	$684.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $993.15 / $3,366.58 / $5,959.92	Facility		$993.15	$3,366.58	$5,959.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.36 / $547.14 / $651.91	Professional		$410.36	$547.14	$651.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $460.00	Professional		$335.80	$460.00	$460.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $547.94 / $684.93 / $1,027.39	Professional		$547.94	$684.93	$1,027.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $220.60 / $514.73	Facility		$220.60	$220.60	$514.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $460.00 / $802.66	Professional		$335.80	$460.00	$802.66
United Facility/Professional Professional Modifier Low / Median / High Price $310.26 / $341.71 / $514.73	Professional		$310.26	$341.71	$514.73