Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $109.33 / $306.00	Facility		$84.10	$109.33	$306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $106.26 / $171.67	Professional		$82.73	$106.26	$171.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $120.01 / $120.01	Professional		$120.01	$120.01	$120.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.94 / $871.23 / $1,463.49	Facility		$244.94	$871.23	$1,463.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.35 / $111.50 / $165.84	Professional		$96.35	$111.50	$165.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $141.00 / $196.52	Professional		$95.63	$141.00	$196.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.38	Professional		$32.34	$32.34	$176.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $115.83 / $150.02	Facility		$69.06	$115.83	$150.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $165.18 / $294.06	Professional		$114.66	$165.18	$294.06
United Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $147.97 / $212.53	Professional		$106.54	$147.97	$212.53