Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $602.56	Professional		$269.15	$363.08	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $10,715.19	Facility		$2,951.21	$6,309.57	$10,715.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $776.25	Professional		$489.78	$645.65	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $1,023.29	Professional		$338.84	$338.84	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,778.28	Professional		$954.99	$1,174.90	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $562.34 / $741.31	Facility		$194.98	$562.34	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $724.44	Professional		$338.84	$338.84	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $831.76	Facility		$234.42	$457.09	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $457.09	Professional		$281.84	$346.74	$457.09