Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,311.31	Professional		$1,479.11	$1,995.26	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,311.31	Professional		$2,570.40	$2,630.27	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,235.94	Professional		$2,041.74	$2,754.23	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,495.41	Professional		$1,737.80	$1,737.80	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $5,128.61	Professional		$2,754.23	$3,467.37	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,570.40 / $4,466.84	Facility		$1,047.13	$2,570.40	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,248.07	Professional		$1,737.80	$1,737.80	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,454.71 / $4,466.84	Facility		$1,258.93	$2,454.71	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,454.71	Professional		$1,513.56	$1,862.09	$2,454.71