Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $281.84 / $812.83	Facility		$52.48	$281.84	$812.83
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	50	$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $218.78	Professional		$34.67	$63.10	$218.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $229.09 / $407.38	Professional	50	$77.62	$229.09	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $50.12 / $64.57	Professional		$31.62	$50.12	$64.57
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	50	$74.13	$74.13	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $933.25 / $1,548.82	Facility		$371.54	$933.25	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $74.13	Professional		$44.67	$51.29	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $144.54	Professional		$39.81	$64.57	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $58.88 / $95.50	Facility		$37.15	$58.88	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $104.71	Professional		$40.74	$67.61	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,412.54	Facility		$229.09	$1,148.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $102.33	Professional		$45.71	$67.61	$102.33