Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.05 / $270.68 / $7,838.38	Facility		$72.05	$270.68	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $65.95 / $166.34	Professional		$50.18	$65.95	$166.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $63.23 / $63.23	Professional		$63.23	$63.23	$63.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.22 / $526.85 / $903.51	Facility		$151.22	$526.85	$903.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $69.00 / $94.95	Professional		$41.28	$69.00	$94.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.28 / $87.77 / $125.91	Professional		$46.28	$87.77	$125.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.99 / $56.99 / $102.67	Professional		$18.99	$56.99	$102.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $70.00 / $99.91	Facility		$49.45	$70.00	$99.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $87.88 / $125.91	Professional		$46.72	$87.88	$125.91
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,084.00 / $1,401.00	Facility		$200.00	$1,084.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $98.43 / $135.82	Professional		$76.97	$98.43	$135.82