Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $776.25 / $7,762.47	Facility		$128.82	$776.25	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $338.84 / $741.31	Professional		$89.13	$338.84	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $478.63	Professional		$446.68	$446.68	$478.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $389.05 / $707.95	Professional		$107.15	$389.05	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $275.42 / $776.25	Professional		$107.15	$275.42	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $302.00 / $912.01	Facility		$109.65	$302.00	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $269.15 / $1,023.29	Professional		$117.49	$269.15	$1,023.29
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 $114.82 / $269.15 / $870.96	Professional		$114.82	$269.15	$870.96