Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.85 / $167.96 / $546.09	Facility		$136.85	$167.96	$546.09
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $270.68 / $270.68 / $345.60	Facility	50	$270.68	$270.68	$345.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $62.41 / $164.47	Professional		$37.17	$62.41	$164.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $59.12 / $62.30	Professional		$59.12	$59.12	$62.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.53 / $688.24 / $1,180.27	Facility		$197.53	$688.24	$1,180.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $57.71 / $92.32	Professional		$34.63	$57.71	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $71.50 / $112.29	Professional		$44.76	$71.50	$112.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $32.34 / $94.85	Professional		$18.97	$32.34	$94.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $59.00 / $90.26	Facility		$35.00	$59.00	$90.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $75.70 / $129.66	Professional		$49.97	$75.70	$129.66
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 $57.05 / $89.18 / $128.08	Professional		$57.05	$89.18	$128.08