Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $776.25 / $4,168.69	Facility		$141.25	$776.25	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $223.87 / $537.03	Professional		$91.20	$223.87	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $229.09 / $263.03	Professional		$85.11	$229.09	$263.03
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 $120.23 / $223.87 / $346.74	Professional		$120.23	$223.87	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $446.68	Professional		$104.71	$199.53	$446.68
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 $95.50 / $234.42 / $457.09	Facility		$95.50	$234.42	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $457.09	Professional		$109.65	$223.87	$457.09
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 $125.89 / $234.42 / $436.52	Professional		$125.89	$234.42	$436.52