Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $179.64 / $211.34	Facility		$153.33	$179.64	$211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $187.93 / $321.69	Professional		$152.47	$187.93	$321.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $164.16 / $164.16	Professional		$164.16	$164.16	$164.16
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 $162.84 / $172.40 / $288.70	Professional		$162.84	$172.40	$288.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $231.00 / $349.69	Professional		$155.00	$231.00	$349.69
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 $139.94 / $211.75 / $282.33	Facility		$139.94	$211.75	$282.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.04 / $291.06 / $471.96	Professional		$169.04	$291.06	$471.96
United Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $279.79 / $342.61	Professional		$175.00	$279.79	$342.61