Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.69 / $2,095.00 / $7,838.38	Facility		$127.69	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.09 / $127.69 / $226.67	Professional		$102.09	$127.69	$226.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $125.08 / $125.08	Professional		$125.08	$125.08	$125.08
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 $66.39 / $157.04 / $204.95	Professional		$66.39	$157.04	$204.95
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 $98.09 / $180.07 / $239.25	Professional		$98.09	$180.07	$239.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $112.57 / $221.52	Professional		$32.34	$112.57	$221.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.50 / $127.16 / $169.52	Facility		$105.50	$127.16	$169.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $177.36 / $232.69	Professional		$99.56	$177.36	$232.69
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 $130.53 / $177.19 / $226.80	Professional		$130.53	$177.19	$226.80