Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $209.00 / $7,838.38	Facility		$209.00	$209.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $135.53 / $277.17	Professional		$45.03	$135.53	$277.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.32 / $153.32 / $153.32	Professional		$153.32	$153.32	$153.32
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 $59.74 / $117.98 / $223.80	Professional		$59.74	$117.98	$223.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $163.82 / $264.67	Professional		$58.73	$163.82	$264.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $222.11	Professional		$32.34	$32.34	$222.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $124.12 / $232.03	Facility		$39.93	$124.12	$232.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.39 / $163.82 / $357.62	Professional		$66.39	$163.82	$357.62
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 $156.99 / $219.60 / $333.06	Professional		$156.99	$219.60	$333.06