Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $2,145.78 / $7,838.38	Facility		$40.26	$2,145.78	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $51.31 / $59.95	Professional		$34.13	$51.31	$59.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $15.25 / $15.25	Professional		$15.25	$15.25	$15.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.46 / $1,791.09 / $2,918.55	Facility		$488.46	$1,791.09	$2,918.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $43.24 / $63.88	Professional		$19.73	$43.24	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $51.44 / $68.34	Professional		$29.38	$51.44	$68.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $57.51	Professional		$32.34	$32.34	$57.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $36.35 / $42.34	Facility		$36.35	$36.35	$42.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $50.04 / $67.23	Professional		$29.39	$50.04	$67.23
United Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $5,971.00 / $8,422.00	Facility		$639.00	$5,971.00	$8,422.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $56.61 / $78.92	Professional		$47.73	$56.61	$78.92