Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $42.66 / $144.54	Facility		$35.48	$42.66	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $79.43 / $141.25	Professional		$25.12	$79.43	$141.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $138.04 / $1,023.29	Professional	50	$100.00	$138.04	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $70.79 / $85.11	Professional		$69.18	$70.79	$85.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $36.31 / $104.71	Professional	50	$36.31	$36.31	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $389.05 / $630.96	Facility		$177.83	$389.05	$630.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $112.20	Professional		$31.62	$54.95	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $70.79 / $151.36	Professional		$27.54	$70.79	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $77.62 / $158.49	Facility		$22.91	$77.62	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $70.79 / $158.49	Professional		$30.90	$70.79	$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 $24.55 / $77.62 / $154.88	Professional		$24.55	$77.62	$154.88