Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $70.45 / $78.56	Facility		$70.45	$70.45	$78.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $62.13 / $78.56	Professional		$51.87	$62.13	$78.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $45.47 / $67.01	Professional		$45.47	$45.47	$67.01
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 $36.04 / $48.80 / $63.60	Professional		$36.04	$48.80	$63.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $76.33 / $121.11	Professional		$47.00	$76.33	$121.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.22 / $108.80	Professional		$32.34	$58.22	$108.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $64.87 / $80.93	Facility		$50.25	$64.87	$80.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $75.19 / $118.85	Professional		$47.00	$75.19	$118.85
United Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $68.31 / $133.01	Professional		$49.52	$68.31	$133.01