Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $354.81 / $7,762.47	Facility		$181.97	$354.81	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $416.87	Professional		$128.82	$213.80	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $251.19	Professional		$123.03	$123.03	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,309.57 / $10,471.29	Facility		$2,884.03	$6,309.57	$10,471.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $269.15	Professional		$100.00	$165.96	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $218.78	Facility		$194.98	$194.98	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $371.54	Professional		$144.54	$229.09	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $223.87 / $380.19	Facility		$128.82	$223.87	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $398.11	Professional		$147.91	$251.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $14,454.40	Facility		$562.34	$3,467.37	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $389.05	Professional		$147.91	$229.09	$389.05