Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.96 / $198.05 / $198.05	Facility		$29.96	$198.05	$198.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.96 / $64.40 / $191.47	Professional		$29.96	$64.40	$191.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $34.01 / $34.01	Professional		$34.01	$34.01	$34.01
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 $26.06 / $36.61 / $83.49	Professional		$26.06	$36.61	$83.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $79.38 / $124.48	Professional		$41.21	$79.38	$124.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $62.39	Professional		$32.34	$32.34	$62.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $58.66 / $104.29	Facility		$33.82	$58.66	$104.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $77.38 / $122.19	Professional		$41.21	$77.38	$122.19
United Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $83.68 / $120.28	Professional		$46.87	$83.68	$120.28