Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $323.59 / $2,691.53	Facility		$147.91	$323.59	$2,691.53
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,122.02 / $1,122.02 / $2,884.03	Facility	50	$1,122.02	$1,122.02	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $537.03	Professional		$97.72	$177.83	$537.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $354.81 / $1,148.15	Professional	50	$147.91	$354.81	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $199.53	Professional		$93.33	$169.82	$199.53
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $138.04 / $218.78 / $281.84	Professional	50	$138.04	$218.78	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $4,365.16	Facility		$1,047.13	$2,630.27	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $234.42	Professional		$125.89	$169.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $416.87	Professional		$114.82	$204.17	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $354.81	Facility		$104.71	$204.17	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $363.08	Professional		$120.23	$213.80	$363.08
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 $120.23 / $213.80 / $380.19	Professional		$120.23	$213.80	$380.19