Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $85.11 / $2,137.96	Facility		$42.66	$85.11	$2,137.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $69.18 / $69.18 / $79.43	Facility	50	$69.18	$69.18	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $173.78	Professional		$30.90	$50.12	$173.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $69.18 / $245.47 / $309.03	Professional	50	$69.18	$245.47	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $44.67	Professional		$38.02	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $281.84 / $467.74	Facility		$112.20	$281.84	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $66.07	Professional		$39.81	$50.12	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $89.13	Professional		$39.81	$60.26	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $114.82	Facility		$37.15	$61.66	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $89.13	Professional		$38.90	$60.26	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $85.11	Professional		$38.02	$57.54	$85.11