Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.11 / $208.24 / $242.06	Facility		$167.11	$208.24	$242.06
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $187.72 / $197.60 / $224.66	Facility	25	$187.72	$197.60	$224.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $47.38 / $69.18	Professional		$29.98	$47.38	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $39.28 / $39.28	Professional		$39.28	$39.28	$39.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.17 / $483.19 / $764.43	Facility		$409.17	$483.19	$764.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $41.52 / $71.47	Professional		$38.04	$41.52	$71.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $58.19 / $76.91	Professional		$36.43	$58.19	$76.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $66.88	Professional		$32.34	$32.34	$66.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $50.27 / $78.56	Facility		$31.83	$50.27	$78.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $62.20 / $109.12	Professional		$40.13	$62.20	$109.12
United Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $60.27 / $93.23	Professional		$44.28	$60.27	$93.23