Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $93.64 / $311.00	Professional		$64.75	$93.64	$311.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.54 / $40.78 / $124.50	Professional	52	$28.54	$40.78	$124.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $68.26 / $71.84	Professional		$68.26	$68.26	$71.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $68.30 / $125.79	Professional		$50.08	$68.30	$125.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.89 / $107.27 / $162.25	Professional		$72.89	$107.27	$162.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $109.05	Professional		$32.34	$32.34	$109.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $111.29 / $198.55	Professional		$77.09	$111.29	$198.55
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $130.66 / $174.00	Professional		$90.00	$130.66	$174.00