Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $4,365.16	Professional		$1,949.84	$2,344.23	$4,365.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $4,365.16	Professional		$2,754.23	$3,715.35	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $6,309.57	Professional		$1,819.70	$1,819.70	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,570.88 / $6,918.31	Professional		$3,715.35	$4,570.88	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,467.37 / $5,011.87	Facility		$1,258.93	$3,467.37	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $6,165.95	Professional		$1,819.70	$1,819.70	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,951.21 / $5,370.32	Facility		$1,513.56	$2,951.21	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,951.21	Professional		$1,819.70	$2,238.72	$2,951.21