Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.90 / $2,145.78 / $4,185.03	Facility		$371.90	$2,145.78	$4,185.03
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.30 / $19.30 / $51.70	Facility	53	$19.30	$19.30	$51.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $224.93 / $469.98	Professional		$91.34	$224.93	$469.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.70 / $221.70 / $221.70	Professional		$221.70	$221.70	$221.70
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 $119.26 / $221.86 / $371.48	Professional		$119.26	$221.86	$371.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $197.75 / $424.90	Professional		$111.50	$197.75	$424.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $376.38	Professional		$32.34	$32.34	$376.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $86.90 / $210.41 / $286.80	Facility		$86.90	$210.41	$286.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.50 / $249.34 / $488.43	Professional		$111.50	$249.34	$488.43
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 $284.13 / $374.22 / $547.47	Professional		$284.13	$374.22	$547.47