Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.37 / $125.69 / $402.90	Facility		$104.37	$125.69	$402.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $135.18 / $301.48	Professional		$110.39	$135.18	$301.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.83 / $136.83 / $136.83	Professional		$136.83	$136.83	$136.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $128.21 / $218.21	Professional		$123.09	$128.21	$218.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $165.00 / $238.84	Professional		$116.00	$165.00	$238.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,083.00	Professional		$32.34	$32.34	$5,083.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.03 / $144.62 / $192.06	Facility		$105.03	$144.62	$192.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $202.53 / $354.20	Professional		$119.04	$202.53	$354.20
United Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $193.41 / $233.40	Professional		$135.08	$193.41	$233.40