Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $114.82 / $2,137.96	Facility		$43.65	$114.82	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $213.80	Professional		$33.88	$89.13	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $562.34 / $933.25	Facility		$223.87	$562.34	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $93.33	Professional		$25.70	$46.77	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $134.90	Professional		$28.84	$54.95	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $83.18 / $138.04	Professional		$32.36	$83.18	$138.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $54.95 / $123.03	Facility		$30.90	$54.95	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $134.90	Professional		$28.84	$54.95	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $58.88 / $100.00	Professional		$24.55	$58.88	$100.00