Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $95.00 / $116.27	Facility		$83.13	$95.00	$116.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $83.42 / $113.97	Professional		$63.19	$83.42	$113.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $79.39 / $79.88	Professional		$61.15	$79.39	$79.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.97 / $179.97 / $179.97	Facility		$179.97	$179.97	$179.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $62.43 / $84.33	Professional		$50.60	$62.43	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $91.00 / $141.21	Professional		$62.00	$91.00	$141.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $81.91 / $136.53	Professional		$32.34	$81.91	$136.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $93.08 / $126.58	Facility		$69.16	$93.08	$126.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $91.00 / $143.69	Professional		$63.00	$91.00	$143.69
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $116.37 / $181.83	Professional		$75.00	$116.37	$181.83