Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $146.63	Facility		$75.00	$75.00	$146.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $71.69 / $321.00	Professional		$49.35	$71.69	$321.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $43.70 / $43.70	Professional		$43.70	$43.70	$43.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $326.48 / $559.89	Facility		$93.70	$326.48	$559.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $51.75 / $99.34	Professional		$28.14	$51.75	$99.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $85.30 / $116.01	Professional		$54.59	$85.30	$116.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.39 / $103.99	Professional		$32.34	$47.39	$103.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $97.94 / $157.03	Facility		$55.30	$97.94	$157.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $105.78 / $146.15	Professional		$55.30	$105.78	$146.15
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $74.30 / $131.19	Professional		$64.23	$74.30	$131.19