Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.45 / $74.66 / $210.80	Facility		$63.45	$74.66	$210.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $77.13 / $141.46	Professional		$58.39	$77.13	$141.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $83.22	Professional		$82.41	$82.41	$83.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.65 / $603.45 / $1,013.66	Facility		$169.65	$603.45	$1,013.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $77.23 / $118.12	Professional		$65.86	$77.23	$118.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $93.47 / $132.19	Professional		$55.04	$93.47	$132.19
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 $53.35 / $78.98 / $104.31	Facility		$53.35	$78.98	$104.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $108.98 / $198.63	Professional		$71.54	$108.98	$198.63
United Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $101.75 / $122.40	Professional		$73.03	$101.75	$122.40