Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $891.25	Professional		$398.11	$537.03	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $758.58	Professional		$741.31	$758.58	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $9,120.11	Facility		$2,570.40	$5,370.32	$9,120.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $977.24	Professional		$602.56	$812.83	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,479.11	Professional		$512.86	$512.86	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,513.56	Professional		$812.83	$1,023.29	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $741.31 / $1,047.13	Facility		$288.40	$741.31	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,174.90	Professional		$512.86	$512.86	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $1,230.27	Facility		$346.74	$501.19	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $676.08	Professional		$407.38	$446.68	$676.08