Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $1,047.00 / $2,152.60	Facility		$262.22	$1,047.00	$2,152.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $228.44 / $540.60	Professional		$99.93	$228.44	$540.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.81 / $225.81 / $225.81	Professional		$225.81	$225.81	$225.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.47 / $2,704.99 / $4,543.81	Facility		$760.47	$2,704.99	$4,543.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $226.81 / $345.58	Professional		$128.88	$226.81	$345.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $201.45 / $433.70	Professional		$122.19	$201.45	$433.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $383.47	Professional		$32.34	$32.34	$383.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $213.49 / $290.26	Facility		$93.94	$213.49	$290.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $259.13 / $493.79	Professional		$122.34	$259.13	$493.79
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $2,516.00 / $2,877.00	Facility		$418.00	$2,516.00	$2,877.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $361.13 / $518.66	Professional		$212.78	$361.13	$518.66