Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.87 / $122.25 / $143.82	Facility		$107.87	$122.25	$143.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $107.87 / $142.57	Professional		$82.05	$107.87	$142.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $108.15 / $133.88	Professional		$89.94	$108.15	$133.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $143.22 / $143.22	Facility		$143.22	$143.22	$143.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $87.87 / $114.52	Professional		$63.51	$87.87	$114.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $116.00 / $205.71	Professional		$65.00	$116.00	$205.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $174.71 / $230.61	Professional		$32.34	$174.71	$230.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.00 / $124.49 / $158.19	Facility		$101.00	$124.49	$158.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $111.19 / $205.20	Professional		$65.00	$111.19	$205.20
United Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $150.40 / $236.46	Professional		$93.83	$150.40	$236.46