Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $102.61 / $114.05	Facility		$102.61	$102.61	$114.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $91.27 / $120.46	Professional		$76.20	$91.27	$120.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $72.98 / $97.61	Professional		$66.23	$72.98	$97.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.88 / $113.88 / $113.88	Facility		$113.88	$113.88	$113.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $73.84 / $102.27	Professional		$52.90	$73.84	$102.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $111.88 / $177.45	Professional		$69.00	$111.88	$177.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $85.98 / $158.47	Professional		$32.34	$85.98	$158.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $94.96 / $117.47	Facility		$73.16	$94.96	$117.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $109.62 / $174.74	Professional		$69.00	$109.62	$174.74
United Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $109.62 / $177.28	Professional		$71.88	$109.62	$177.28