Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.77 / $371.77 / $371.77	Facility		$371.77	$371.77	$371.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.77 / $615.59 / $3,044.44	Professional		$371.77	$615.59	$3,044.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $675.71 / $675.71 / $675.71	Professional		$675.71	$675.71	$675.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.08 / $3,722.14 / $6,235.58	Facility		$1,039.08	$3,722.14	$6,235.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.43 / $464.57 / $684.57	Professional		$348.43	$464.57	$684.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $636.97	Facility		$636.97	$636.97	$636.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $636.97	Professional		$464.99	$636.97	$636.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $716.61 / $1,074.91	Professional		$501.62	$716.61	$1,074.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.96 / $425.96 / $636.97	Facility		$425.96	$425.96	$636.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $636.97 / $849.98	Professional		$464.99	$636.97	$849.98
United Facility/Professional Professional Modifier Low / Median / High Price $461.69 / $481.81 / $769.49	Professional		$461.69	$481.81	$769.49