Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.69 / $146.85 / $146.85	Facility		$117.69	$146.85	$146.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $100.73 / $261.27	Professional		$72.41	$100.73	$261.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $79.16 / $79.16	Professional		$79.16	$79.16	$79.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $508.46 / $871.96	Facility		$145.94	$508.46	$871.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $60.86 / $133.65	Professional		$38.61	$60.86	$133.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $116.52 / $165.09	Professional		$76.23	$116.52	$165.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.69 / $129.16	Professional		$32.34	$55.69	$129.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $126.67 / $227.40	Facility		$79.23	$126.67	$227.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $150.82 / $211.19	Professional		$79.23	$150.82	$211.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $102.82 / $189.07	Professional		$93.47	$102.82	$189.07