Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $315.00 / $1,000.00	Facility		$80.59	$315.00	$1,000.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $469.60 / $469.60 / $1,229.44	Facility	50	$469.60	$469.60	$1,229.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $56.28 / $251.00	Professional		$35.60	$56.28	$251.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $25.00 / $135.24 / $391.50	Professional	50	$25.00	$135.24	$391.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $41.25 / $106.03	Professional		$20.62	$41.25	$106.03
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 $32.47 / $54.12 / $80.09	Professional		$32.47	$54.12	$80.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $66.00 / $101.42	Professional		$43.78	$66.00	$101.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $32.34 / $82.29	Professional		$16.45	$32.34	$82.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.45 / $57.99 / $82.58	Facility		$37.45	$57.99	$82.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $70.73 / $109.82	Professional		$46.29	$70.73	$109.82
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 $62.48 / $84.28 / $126.36	Professional		$62.48	$84.28	$126.36