Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.09 / $65.84 / $77.45	Facility		$58.09	$65.84	$77.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $64.70 / $85.83	Professional		$48.64	$64.70	$85.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $67.38 / $79.58	Professional		$42.39	$67.38	$79.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $50.75 / $50.75	Facility		$50.75	$50.75	$50.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $52.99 / $69.06	Professional		$36.67	$52.99	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $56.00 / $115.38	Professional		$47.00	$56.00	$115.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.35 / $126.42	Professional		$32.34	$105.35	$126.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.45 / $73.75 / $88.71	Facility		$60.45	$73.75	$88.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $51.00 / $115.38	Professional		$35.00	$51.00	$115.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.85 / $70.92 / $153.46	Professional		$5.85	$70.92	$153.46