Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.25 / $91.00 / $92.97	Facility		$61.25	$91.00	$92.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $65.58 / $96.10	Professional		$52.16	$65.58	$96.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $59.04 / $77.15	Professional		$47.46	$59.04	$77.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.56 / $113.56 / $113.56	Facility		$113.56	$113.56	$113.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $53.30 / $74.40	Professional		$40.10	$53.30	$74.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $57.00 / $108.76	Professional		$38.00	$57.00	$108.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $91.26 / $136.19	Professional		$32.34	$91.26	$136.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.67 / $72.77 / $88.17	Facility		$61.67	$72.77	$88.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $55.00 / $102.61	Professional		$35.00	$55.00	$102.61
United Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $76.54 / $118.21	Professional		$53.75	$76.54	$118.21