Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $199.53 / $338.84	Facility		$54.95	$199.53	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $190.55	Professional		$28.84	$50.12	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $37.15	Professional		$33.88	$35.48	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $81.28	Professional		$26.30	$33.88	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $134.90	Professional		$41.69	$79.43	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $61.66 / $107.15	Facility		$35.48	$61.66	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $114.82	Professional		$41.69	$77.62	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $120.23	Professional		$42.66	$81.28	$120.23