Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $190.55 / $575.44	Facility		$53.70	$190.55	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $109.65 / $208.93	Professional		$38.90	$109.65	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $416.87 / $676.08	Facility		$190.55	$416.87	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $89.13 / $147.91	Professional		$30.20	$89.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $114.82 / $218.78	Professional		$47.86	$114.82	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $123.03 / $257.04	Facility		$43.65	$123.03	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $123.03 / $251.19	Professional		$47.86	$123.03	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,445.44 / $1,445.44	Facility		$645.65	$1,445.44	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $109.65 / $239.88	Professional		$47.86	$109.65	$239.88