Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $234.42	Facility		$54.95	$102.33	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $218.78	Professional		$39.81	$79.43	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $39.81	Professional		$37.15	$37.15	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $380.19 / $630.96	Facility		$154.88	$380.19	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $75.86 / $114.82	Professional		$51.29	$75.86	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $165.96	Professional		$54.95	$91.20	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $89.13 / $144.54	Facility		$41.69	$89.13	$144.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $158.49	Professional		$57.54	$93.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $147.91	Professional		$57.54	$95.50	$147.91