Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $43.28 / $43.28	Facility		$43.28	$43.28	$43.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $46.95 / $81.51	Professional		$40.64	$46.95	$81.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Professional		$29.92	$29.92	$29.92
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 $44.51 / $52.74 / $150.00	Professional		$44.51	$52.74	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $71.50 / $103.17	Professional		$44.00	$71.50	$103.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.28 / $50.49 / $66.53	Facility		$43.28	$50.49	$66.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $66.00 / $103.17	Professional		$48.06	$66.00	$103.17
United Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $80.01 / $127.99	Professional		$57.96	$80.01	$127.99