Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $131.83 / $229.09	Facility		$85.11	$131.83	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $436.52	Professional		$48.98	$79.43	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $457.09 / $758.58	Facility		$208.93	$457.09	$758.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $66.07	Professional		$42.66	$57.54	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $151.36	Professional		$63.10	$107.15	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $181.97	Professional		$109.65	$109.65	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $120.23 / $190.55	Facility		$54.95	$120.23	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $151.36	Professional		$63.10	$100.00	$151.36
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 $29.51 / $40.74 / $42.66	Professional		$29.51	$40.74	$42.66