Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $269.15 / $2,951.21	Facility		$117.49	$269.15	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $389.05	Professional		$79.43	$162.18	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.10 / $186.21	Professional		$38.90	$87.10	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,467.37 / $5,495.41	Facility		$1,412.54	$3,467.37	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $245.47	Professional		$97.72	$151.36	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $831.76	Facility		$141.25	$141.25	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $295.12	Professional		$97.72	$169.82	$295.12
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 $85.11 / $173.78 / $323.59	Facility		$85.11	$173.78	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $302.00	Professional		$97.72	$181.97	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,467.37 / $7,244.36	Facility		$562.34	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $302.00	Professional		$100.00	$173.78	$302.00