Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $380.19 / $7,762.47	Facility		$112.20	$380.19	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $407.38	Professional		$70.79	$173.78	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $125.89	Professional		$63.10	$123.03	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $3,311.31	Facility		$794.33	$1,995.26	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $251.19	Professional		$89.13	$154.88	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $602.56	Facility		$123.03	$123.03	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $169.82 / $338.84	Professional		$85.11	$169.82	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $190.55 / $380.19	Facility		$72.44	$190.55	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $363.08	Professional		$85.11	$190.55	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $5,011.87	Facility		$562.34	$3,467.37	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $346.74	Professional		$89.13	$177.83	$346.74