Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,137.96 / $3,630.78	Facility		$97.72	$2,137.96	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $758.58	Professional		$72.44	$173.78	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $12,022.64	Facility		$3,388.44	$7,413.10	$12,022.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $229.09	Professional		$89.13	$154.88	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $302.00	Professional		$100.00	$181.97	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $169.82 / $371.54	Facility		$77.62	$169.82	$371.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $302.00	Professional		$100.00	$181.97	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,365.16 / $12,589.25	Facility		$562.34	$4,365.16	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $331.13	Professional		$102.33	$181.97	$331.13