Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $125.36 / $126.45	Facility		$125.36	$125.36	$126.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $154.46 / $196.58	Professional		$126.45	$154.46	$196.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $142.19 / $142.19	Professional		$142.19	$142.19	$142.19
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 $86.53 / $149.50 / $322.88	Professional		$86.53	$149.50	$322.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $233.98 / $320.77	Professional		$173.60	$233.98	$320.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.13	Professional		$32.34	$32.34	$249.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.91 / $146.38 / $185.40	Facility		$129.91	$146.38	$185.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $239.14 / $348.35	Professional		$173.60	$239.14	$348.35
United Facility/Professional Professional Modifier Low / Median / High Price $203.87 / $250.25 / $368.55	Professional		$203.87	$250.25	$368.55