Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $1,380.38	Facility		$144.54	$229.09	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $549.54	Professional		$102.33	$158.49	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,995.26 / $3,311.31	Facility		$794.33	$1,995.26	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $194.98	Professional		$128.82	$181.97	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $371.54	Professional		$151.36	$218.78	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $467.74	Facility		$147.91	$275.42	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $371.54	Professional		$144.54	$204.17	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,511.89 / $2,884.03	Facility		$416.87	$2,511.89	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $407.38	Professional		$151.36	$223.87	$407.38