Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $223.87	Facility		$100.00	$194.98	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $100.00	Professional		$60.26	$72.44	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $398.11 / $616.60	Facility		$151.36	$398.11	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $74.13	Professional		$42.66	$57.54	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $151.36	Professional		$60.26	$60.26	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $97.72	Facility		$74.13	$85.11	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $91.20	Professional		$33.88	$85.11	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $48.98	Professional		$32.36	$34.67	$48.98