Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.68 / $317.05 / $317.05	Facility		$58.68	$317.05	$317.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $76.51 / $200.79	Professional		$55.17	$76.51	$200.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $119.07 / $119.07	Professional		$119.07	$119.07	$119.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.17 / $869.64 / $1,417.06	Facility		$237.17	$869.64	$1,417.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $76.61 / $113.49	Professional		$45.97	$76.61	$113.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $99.29 / $144.81	Professional		$66.20	$99.29	$144.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $32.34 / $125.38	Professional		$23.00	$32.34	$125.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.44 / $83.73 / $119.85	Facility		$59.44	$83.73	$119.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $104.02 / $155.28	Professional		$70.37	$104.02	$155.28
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 $92.84 / $121.03 / $183.05	Professional		$92.84	$121.03	$183.05