Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $602.56	Professional		$257.04	$398.11	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $537.03	Professional		$446.68	$457.09	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $758.58	Professional		$478.63	$645.65	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $891.25	Professional		$281.84	$281.84	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $1,778.28	Professional		$933.25	$1,174.90	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $575.44 / $776.25	Facility		$194.98	$575.44	$776.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $891.25	Professional		$281.84	$281.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $457.09 / $812.83	Facility		$229.09	$457.09	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $457.09	Professional		$275.42	$323.59	$457.09