Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $106.30 / $125.06	Facility		$93.79	$106.30	$125.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $89.41 / $122.63	Professional		$62.09	$89.41	$122.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $91.09 / $101.09	Professional		$91.09	$91.09	$101.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.34 / $96.34 / $96.34	Facility		$96.34	$96.34	$96.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $66.28 / $86.38	Professional		$48.06	$66.28	$86.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.83 / $158.77	Professional		$40.00	$76.83	$158.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $131.78 / $158.13	Professional		$32.34	$131.78	$158.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $93.80 / $130.12	Facility		$73.04	$93.80	$130.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $76.83 / $156.00	Professional		$40.00	$76.83	$156.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $95.83 / $156.43	Professional		$69.30	$95.83	$156.43