Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $633.14 / $2,145.78	Facility		$51.17	$633.14	$2,145.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $249.06 / $256.52 / $496.83	Facility	50	$249.06	$256.52	$496.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $50.50 / $114.67	Professional		$34.25	$50.50	$114.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $71.09 / $270.00 / $334.50	Professional	50	$71.09	$270.00	$334.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $98.28 / $98.28	Professional		$98.28	$98.28	$98.28
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 $26.68 / $46.43 / $74.36	Professional		$26.68	$46.43	$74.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $61.96 / $93.42	Professional		$41.31	$61.96	$93.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $32.34 / $81.87	Professional		$15.28	$32.34	$81.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.07 / $52.36 / $75.58	Facility		$34.07	$52.36	$75.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $65.30 / $102.28	Professional		$43.84	$65.30	$102.28
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 $57.40 / $73.67 / $109.81	Professional		$57.40	$73.67	$109.81