Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $131.83 / $537.03	Facility		$53.70	$131.83	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $53.70	Professional		$31.62	$37.15	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $275.42 / $446.68	Facility		$107.15	$275.42	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $38.90	Professional		$25.12	$33.88	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $77.62	Professional		$26.30	$47.86	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $48.98 / $72.44	Facility		$37.15	$48.98	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $63.10 / $102.33	Professional		$26.30	$63.10	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $37.15	Facility		$30.20	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $25.12	Professional		$17.38	$24.55	$25.12