Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $380.19	Professional		$169.82	$218.78	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $3,548.13	Facility		$1,000.00	$2,137.96	$3,548.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $380.19	Professional		$239.88	$316.23	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $616.60	Professional		$213.80	$213.80	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $602.56	Professional		$323.59	$398.11	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $467.74	Facility		$123.03	$302.00	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $457.09	Professional		$213.80	$213.80	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $512.86	Facility		$251.19	$338.84	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $281.84	Professional		$173.78	$213.80	$281.84