Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.38 / $92.38 / $158.34	Facility		$92.38	$92.38	$158.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $92.38 / $320.85	Professional		$74.28	$92.38	$320.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $271.95 / $271.95	Professional		$271.95	$271.95	$271.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $240.23 / $462.79	Professional		$126.29	$240.23	$462.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $345.86 / $1,389.56	Professional		$186.56	$345.86	$1,389.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.34 / $247.52 / $713.94	Facility		$158.34	$247.52	$713.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $384.56 / $810.12	Professional		$267.33	$384.56	$810.12
United Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $112.71 / $161.33	Professional		$90.26	$112.71	$161.33