Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $562.34	Professional		$275.42	$371.54	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $8,128.31	Facility		$2,290.87	$4,897.79	$8,128.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $588.84	Professional		$371.54	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,096.48	Professional		$380.19	$380.19	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,380.38	Professional		$724.44	$912.01	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $467.74 / $812.83	Facility		$199.53	$467.74	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $741.31	Professional		$380.19	$380.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $346.74 / $851.14	Facility		$239.88	$346.74	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $467.74	Professional		$281.84	$309.03	$467.74