Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $812.83	Professional		$407.38	$562.34	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $870.96	Professional		$707.95	$707.95	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,174.90	Professional		$741.31	$1,000.00	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,380.38	Professional		$426.58	$426.58	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,862.09	Professional		$870.96	$1,258.93	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $1,148.15	Facility		$302.00	$812.83	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,288.25	Professional		$426.58	$426.58	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $707.95 / $1,258.93	Facility		$363.08	$707.95	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $707.95	Professional		$426.58	$537.03	$707.95