Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.04 / $2,145.78 / $7,838.38	Facility		$194.04	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.04 / $328.27 / $376.40	Professional		$194.04	$328.27	$376.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $210.39 / $210.39	Professional		$210.39	$210.39	$210.39
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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.26 / $181.26 / $217.17	Professional		$181.26	$181.26	$217.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $373.29	Professional		$50.00	$85.00	$373.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $255.04 / $328.27	Facility		$123.92	$255.04	$328.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.20 / $410.51 / $446.30	Professional		$197.20	$410.51	$446.30
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $372.81 / $744.26	Professional		$207.29	$372.81	$744.26