Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,445.44	Professional		$616.60	$870.96	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,318.26	Professional		$1,071.52	$1,071.52	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,819.70	Professional		$1,148.15	$1,548.82	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $2,511.89	Professional		$870.96	$870.96	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,884.03	Professional		$1,548.82	$1,905.46	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,380.38 / $1,862.09	Facility		$467.74	$1,380.38	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,737.80	Professional		$870.96	$870.96	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,071.52 / $1,949.84	Facility		$549.54	$1,071.52	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,071.52	Professional		$645.65	$831.76	$1,071.52