Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $74.23 / $132.47	Professional		$65.15	$74.23	$132.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $71.11 / $73.92	Professional		$65.40	$71.11	$73.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,034.43 / $2,528.94 / $4,000.86	Facility		$2,034.43	$2,528.94	$4,000.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $84.97 / $102.28	Professional		$68.55	$84.97	$102.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $1,050.00 / $1,863.00	Facility		$80.95	$1,050.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $105.39 / $130.04	Professional		$71.59	$105.39	$130.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.84	Professional		$32.34	$32.34	$108.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $84.32 / $170.98	Facility		$65.92	$84.32	$170.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $118.57 / $189.58	Professional		$78.43	$118.57	$189.58
United Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $562.00 / $900.00	Facility		$562.00	$562.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $101.20 / $146.87	Professional		$71.33	$101.20	$146.87