Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $154.88 / $7,762.47	Facility		$70.79	$154.88	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $275.42	Professional		$47.86	$85.11	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $120.23 / $398.11 / $416.87	Professional	50	$120.23	$398.11	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $66.07 / $70.79 / $138.04	Professional	50	$66.07	$70.79	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $933.25 / $1,548.82	Facility		$371.54	$933.25	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $123.03	Professional		$61.66	$81.28	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $199.53	Professional		$56.23	$97.72	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $165.96	Facility		$51.29	$95.50	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $169.82	Professional		$60.26	$100.00	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $158.49	Professional		$57.54	$100.00	$158.49