Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.17 / $115.18 / $7,838.38	Facility		$89.17	$115.18	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $82.20 / $214.19	Professional		$36.57	$82.20	$214.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $84.64 / $84.64	Professional		$84.64	$84.64	$84.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.93 / $684.01 / $1,145.90	Facility		$258.93	$684.01	$1,145.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.66 / $74.43 / $142.97	Professional		$44.66	$74.43	$142.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $69.44 / $69.44	Facility		$69.44	$69.44	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $91.02 / $197.35	Professional		$46.03	$91.02	$197.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $32.34 / $167.99	Professional		$32.30	$32.34	$167.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.17 / $80.78 / $126.72	Facility		$37.17	$80.78	$126.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $107.90 / $262.61	Professional		$49.36	$107.90	$262.61
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,158.00 / $1,327.00	Facility		$200.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $133.13 / $214.61	Professional		$94.46	$133.13	$214.61