Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $489.78 / $2,137.96	Facility		$151.36	$489.78	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $616.60	Professional		$100.00	$239.88	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $257.04	Professional		$91.20	$208.93	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,754.23 / $4,570.88	Facility		$1,096.48	$2,754.23	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $309.03	Professional		$128.82	$229.09	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $457.09	Professional		$112.20	$199.53	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $239.88 / $457.09	Facility		$104.71	$239.88	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $467.74	Professional		$120.23	$229.09	$467.74
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 $134.90 / $251.19 / $446.68	Professional		$134.90	$251.19	$446.68