Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $165.96 / $169.82	Facility		$77.62	$165.96	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $61.66	Professional		$38.02	$43.65	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $354.81 / $549.54	Facility		$154.88	$354.81	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $31.62 / $47.86	Professional		$27.54	$31.62	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $100.00	Professional		$31.62	$74.13	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $48.98 / $64.57	Facility		$33.11	$48.98	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $74.13 / $104.71	Professional		$31.62	$74.13	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $45.71	Facility		$38.02	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $30.90	Professional		$21.38	$30.20	$30.90