Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $2,145.78 / $7,838.38	Facility		$119.78	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.26 / $118.02 / $181.68	Professional		$87.26	$118.02	$181.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.86 / $177.03 / $209.63	Professional	50	$33.86	$177.03	$209.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.14 / $86.27 / $160.86	Professional		$43.14	$86.27	$160.86
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $129.41 / $129.41 / $158.30	Professional	50	$129.41	$129.41	$158.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.44 / $1,642.54 / $2,816.82	Facility		$471.44	$1,642.54	$2,816.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $107.81 / $157.69	Professional		$56.56	$107.81	$157.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $875.00	Facility		$875.00	$875.00	$875.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $158.27 / $212.05	Professional		$84.00	$158.27	$212.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $94.94 / $213.61	Professional		$31.64	$94.94	$213.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $252.16 / $376.88	Facility		$138.04	$252.16	$376.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $160.85 / $212.05	Professional		$86.27	$160.85	$212.05
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 $122.98 / $201.28 / $274.45	Professional		$122.98	$201.28	$274.45