Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $794.33	Professional		$363.08	$478.63	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $851.14	Professional		$645.65	$645.65	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $831.76	Professional		$524.81	$707.95	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,412.54	Professional		$363.08	$363.08	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,949.84	Professional		$1,023.29	$1,288.25	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $660.69 / $912.01	Facility		$257.04	$660.69	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,023.29	Professional		$363.08	$363.08	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $602.56 / $1,096.48	Facility		$309.03	$602.56	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $602.56	Professional		$371.54	$457.09	$602.56