Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $630.96	Professional		$281.84	$389.05	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $831.76	Professional		$524.81	$691.83	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,096.48	Professional		$354.81	$354.81	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,318.26	Professional		$691.83	$870.96	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $602.56 / $794.33	Facility		$208.93	$602.56	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $831.76	Professional		$354.81	$354.81	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $489.78 / $891.25	Facility		$251.19	$489.78	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $354.81 / $489.78	Professional		$295.12	$354.81	$489.78