Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $891.25 / $7,762.47	Facility		$218.78	$891.25	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $426.58	Professional		$120.23	$213.80	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $245.47	Professional		$128.82	$128.82	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,023.29 / $1,698.24	Facility		$407.38	$1,023.29	$1,698.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $275.42	Professional		$186.21	$208.93	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $371.54	Professional		$144.54	$234.42	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $331.13	Professional		$32.36	$66.07	$331.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $239.88 / $380.19	Facility		$151.36	$239.88	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $389.05	Professional		$144.54	$245.47	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $3,235.94	Facility		$229.09	$1,148.15	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $407.38	Professional		$223.87	$309.03	$407.38