Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $92.39 / $108.69	Facility		$79.31	$92.39	$108.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.39 / $109.70 / $292.50	Professional		$80.39	$109.70	$292.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Professional		$122.99	$122.99	$122.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $255.24 / $907.89 / $1,525.06	Facility		$255.24	$907.89	$1,525.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $116.19 / $172.81	Professional		$94.13	$116.19	$172.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $137.63 / $190.61	Professional		$78.65	$137.63	$190.61
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 $75.87 / $112.13 / $149.51	Facility		$75.87	$112.13	$149.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $158.21 / $286.27	Professional		$107.60	$158.21	$286.27
United Facility/Professional Professional Modifier Low / Median / High Price $108.17 / $145.76 / $198.00	Professional		$108.17	$145.76	$198.00