Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.78 / $2,145.78 / $7,838.38	Facility		$83.78	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $75.03 / $297.75	Professional		$51.36	$75.03	$297.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.29 / $468.00 / $523.50	Professional	50	$122.29	$468.00	$523.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $71.08 / $151.31	Professional		$35.54	$71.08	$151.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $919.20 / $1,544.06	Facility		$258.42	$919.20	$1,544.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $80.06 / $121.96	Professional		$42.61	$80.06	$121.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $91.32 / $137.31	Professional		$60.81	$91.32	$137.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $32.34 / $126.47	Professional		$23.41	$32.34	$126.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $77.04 / $108.55	Facility		$44.94	$77.04	$108.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.33 / $100.83 / $155.79	Professional		$64.33	$100.83	$155.79
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 $81.00 / $110.25 / $158.34	Professional		$81.00	$110.25	$158.34