Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $204.17	Facility		$147.91	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $125.89	Professional		$79.43	$100.00	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $54.95 / $54.95	Professional		$41.69	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $52.48 / $218.78	Facility		$34.67	$52.48	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $117.49	Professional		$109.65	$114.82	$117.49