Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $645.65	Professional		$177.83	$346.74	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $562.34	Professional		$478.63	$478.63	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $4,570.88	Facility		$1,258.93	$2,884.03	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $489.78	Professional		$263.03	$354.81	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $724.44	Professional		$338.84	$338.84	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $758.58	Professional		$407.38	$512.86	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $562.34	Facility		$251.19	$407.38	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $588.84	Professional		$338.84	$338.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $380.19 / $1,096.48	Facility		$269.15	$380.19	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $537.03	Professional		$323.59	$338.84	$537.03