Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $831.76 / $3,467.37	Facility		$125.89	$831.76	$3,467.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,288.25 / $1,288.25 / $5,128.61	Facility	50	$1,288.25	$1,288.25	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $446.68	Professional		$83.18	$162.18	$446.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $61.66 / $316.23 / $741.31	Professional	50	$61.66	$316.23	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $154.88 / $186.21	Professional		$83.18	$154.88	$186.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $123.03 / $213.80 / $263.03	Professional	50	$123.03	$213.80	$263.03
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 $107.15 / $154.88 / $218.78	Professional		$107.15	$154.88	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $363.08	Professional		$97.72	$181.97	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $181.97 / $331.13	Facility		$89.13	$181.97	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $323.59	Professional		$102.33	$190.55	$323.59
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 $97.72 / $194.98 / $346.74	Professional		$97.72	$194.98	$346.74