Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $374.30 / $1,838.39	Facility		$212.00	$374.30	$1,838.39
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,757.58 / $2,757.58 / $2,757.58	Facility	50	$2,757.58	$2,757.58	$2,757.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $87.32 / $217.35	Professional		$57.68	$87.32	$217.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.15 / $580.50 / $648.00	Professional	50	$126.15	$580.50	$648.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.70 / $94.25 / $94.25	Professional		$90.70	$94.25	$94.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.69 / $1,126.48 / $1,892.25	Facility		$316.69	$1,126.48	$1,892.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $86.06 / $146.13	Professional		$51.05	$86.06	$146.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $103.44 / $163.44	Professional		$68.84	$103.44	$163.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $150.22	Professional		$32.34	$32.34	$150.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $89.53 / $107.69	Facility		$53.28	$89.53	$107.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $111.25 / $189.03	Professional		$70.30	$111.25	$189.03
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 $107.42 / $138.86 / $206.98	Professional		$107.42	$138.86	$206.98