Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.05 / $2,145.78 / $7,838.38	Facility		$55.05	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $78.45 / $211.36	Professional		$55.05	$78.45	$211.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.78 / $47.78 / $47.78	Professional		$47.78	$47.78	$47.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.25 / $1,196.29 / $1,949.34	Facility		$326.25	$1,196.29	$1,949.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $60.60 / $102.63	Professional		$26.87	$60.60	$102.63
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 $47.78 / $107.22 / $167.35	Professional		$47.78	$107.22	$167.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $43.44 / $97.74	Professional		$14.48	$43.44	$97.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $82.72 / $121.21	Facility		$46.53	$82.72	$121.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $111.88 / $166.71	Professional		$69.44	$111.88	$166.71
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 $86.07 / $108.60 / $167.39	Professional		$86.07	$108.60	$167.39