Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $467.74 / $3,548.13	Facility		$154.88	$467.74	$3,548.13
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $645.65 / $645.65 / $2,691.53	Facility	50	$645.65	$645.65	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.42 / $616.60	Professional		$100.00	$234.42	$616.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $501.19 / $1,288.25	Professional	50	$263.03	$501.19	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $245.47	Professional		$95.50	$213.80	$245.47
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $309.03 / $363.08	Professional	50	$147.91	$309.03	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,570.40 / $4,073.80	Facility		$1,047.13	$2,570.40	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $354.81	Professional		$131.83	$199.53	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $467.74	Professional		$112.20	$208.93	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $251.19 / $478.63	Facility		$109.65	$251.19	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $446.68	Professional		$114.82	$229.09	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $3,890.45	Facility		$416.87	$2,511.89	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $436.52	Professional		$125.89	$245.47	$436.52