Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $158.69 / $183.92	Facility		$50.88	$158.69	$183.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $22.92 / $89.00	Professional		$10.85	$22.92	$89.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $9.52	Professional		$9.52	$9.52	$9.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $273.58 / $455.52	Facility		$78.53	$273.58	$455.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $13.81 / $19.44	Professional		$7.64	$13.81	$19.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Professional		$8.65	$8.65	$8.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $32.34 / $32.34	Professional		$13.59	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $22.91 / $34.97	Facility		$10.96	$22.91	$34.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $22.91 / $31.36	Professional		$14.03	$22.91	$31.36
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $27.00 / $37.95	Professional		$12.76	$27.00	$37.95