Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.77 / $2,145.78 / $6,742.21	Facility		$253.77	$2,145.78	$6,742.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.18 / $255.30 / $1,139.00	Professional		$230.18	$255.30	$1,139.00
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $87.00 / $136.27 / $313.02	Professional	AS	$87.00	$136.27	$313.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $253.11 / $387.68 / $387.68	Professional		$253.11	$387.68	$387.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $318.06 / $538.11	Professional		$261.62	$318.06	$538.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $386.29 / $486.86	Professional		$258.42	$386.29	$486.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $409.81	Professional		$32.34	$32.34	$409.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.18 / $281.18 / $400.42	Facility		$230.18	$281.18	$400.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $258.77 / $400.55 / $631.63	Professional		$258.77	$400.55	$631.63
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $68.52 / $81.30 / $126.27	Professional	AS	$68.52	$81.30	$126.27
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 $313.24 / $397.27 / $603.57	Professional		$313.24	$397.27	$603.57