Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.13 / $470.44 / $1,047.00	Facility		$123.13	$470.44	$1,047.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $227.80 / $227.80 / $227.80	Facility	50	$227.80	$227.80	$227.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $55.18 / $133.97	Professional		$35.72	$55.18	$133.97
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $76.76 / $325.98 / $409.50	Professional	50	$76.76	$325.98	$409.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $50.21 / $65.41	Professional		$39.03	$50.21	$65.41
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 $28.06 / $48.17 / $76.48	Professional		$28.06	$48.17	$76.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $66.75 / $98.37	Professional		$44.97	$66.75	$98.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $32.34 / $83.41	Professional		$15.65	$32.34	$83.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.01 / $54.78 / $82.18	Facility		$35.01	$54.78	$82.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $69.58 / $104.85	Professional		$46.15	$69.58	$104.85
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 $58.63 / $82.50 / $120.68	Professional		$58.63	$82.50	$120.68