Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,090.30	Professional		$1,202.26	$1,659.59	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $2,691.53	Professional		$1,819.70	$2,398.83	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $4,786.30	Professional		$1,548.82	$1,548.82	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,466.84	Professional		$2,398.83	$3,019.95	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,238.72 / $3,630.78	Facility		$891.25	$2,238.72	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,715.35	Professional		$1,548.82	$1,548.82	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,801.89	Facility		$1,071.52	$2,089.30	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,089.30	Professional		$1,288.25	$1,584.89	$2,089.30