Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $275.42 / $7,762.47	Facility		$162.18	$275.42	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $295.12	Professional		$100.00	$158.49	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,380.38 / $2,089.30	Facility		$630.96	$1,380.38	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $204.17	Professional		$134.90	$162.18	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $446.68	Professional		$120.23	$186.21	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $190.55 / $281.84	Facility		$117.49	$190.55	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $331.13	Professional		$123.03	$194.98	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,090.30	Facility		$416.87	$2,511.89	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $302.00	Professional		$131.83	$194.98	$302.00