Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.15 / $118.87 / $866.67	Facility		$94.15	$118.87	$866.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $91.43 / $120.34	Professional		$65.59	$91.43	$120.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.70 / $88.70 / $89.39	Professional		$88.70	$88.70	$89.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.61 / $202.61 / $202.61	Facility		$202.61	$202.61	$202.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $70.28 / $94.32	Professional		$55.47	$70.28	$94.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $102.00 / $149.96	Professional		$70.00	$102.00	$149.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.84 / $153.70	Professional		$32.34	$83.84	$153.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.30 / $99.58 / $141.58	Facility		$69.30	$99.58	$141.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $102.00 / $150.30	Professional		$70.00	$102.00	$150.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $133.01 / $199.86	Professional		$89.09	$133.01	$199.86