Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $1,326.85 / $7,838.38	Facility		$136.30	$1,326.85	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $128.96 / $542.57	Professional		$90.40	$128.96	$542.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $120.76 / $120.76	Professional		$120.76	$120.76	$120.76
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 $64.02 / $120.57 / $181.07	Professional		$64.02	$120.57	$181.07
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 $92.02 / $159.90 / $221.52	Professional		$92.02	$159.90	$221.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.96 / $221.52	Professional		$32.34	$107.96	$221.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.15 / $127.17 / $164.73	Facility		$103.15	$127.17	$164.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.91 / $154.90 / $221.52	Professional		$95.91	$154.90	$221.52
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 $126.96 / $175.77 / $256.17	Professional		$126.96	$175.77	$256.17