Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $147.91 / $616.60	Facility		$25.70	$147.91	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $74.13	Professional		$43.65	$57.54	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $32.36	Professional		$26.30	$32.36	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $660.69	Facility		$162.18	$398.11	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $58.88	Professional		$38.02	$51.29	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $70.79 / $109.65	Professional		$30.90	$70.79	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $74.13	Facility		$40.74	$58.88	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $81.28 / $117.49	Professional		$30.90	$81.28	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $79.43	Facility		$56.23	$56.23	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $37.15	Professional		$26.30	$33.88	$37.15