Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.95 / $274.95 / $274.95	Facility		$274.95	$274.95	$274.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.96 / $219.96 / $219.96	Professional		$219.96	$219.96	$219.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $77.17 / $77.17	Professional		$77.17	$77.17	$77.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,000.00	Professional		$50.00	$85.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.21 / $207.21 / $207.21	Facility		$207.21	$207.21	$207.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $78.95 / $1,557.00	Professional		$61.25	$78.95	$1,557.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.42 / $333.95 / $890.30	Professional		$318.42	$333.95	$890.30