Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $269.15 / $2,137.96	Facility		$204.17	$269.15	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $707.95	Professional		$144.54	$190.55	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,570.40 / $4,073.80	Facility		$1,230.27	$2,570.40	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $251.19	Professional		$154.88	$194.98	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $309.03	Professional		$162.18	$239.88	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $524.81	Facility		$165.96	$229.09	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $295.12	Professional		$162.18	$234.42	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $2,884.03	Facility		$416.87	$2,511.89	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $323.59	Professional		$158.49	$223.87	$323.59