Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,096.48	Professional		$562.34	$691.83	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,202.26	Professional		$977.24	$1,174.90	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,230.27	Professional		$776.25	$1,047.13	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,905.46	Professional		$524.81	$524.81	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,949.84	Professional		$1,047.13	$1,318.26	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $954.99 / $1,288.25	Facility		$371.54	$954.99	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,513.56	Professional		$524.81	$524.81	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $1,584.89	Facility		$446.68	$870.96	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $870.96	Professional		$537.03	$630.96	$870.96