Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,737.80 / $3,467.37	Facility		$102.33	$1,737.80	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $524.81	Professional		$69.18	$134.90	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,090.30 / $5,248.07	Facility		$1,258.93	$3,090.30	$5,248.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $181.97	Professional		$87.10	$125.89	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $239.88	Professional		$95.50	$138.04	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $281.84	Facility		$74.13	$134.90	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $239.88	Professional		$95.50	$138.04	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,090.30	Facility		$416.87	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $245.47	Professional		$95.50	$151.36	$245.47