Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $94.23 / $140.82	Professional		$64.75	$94.23	$140.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $109.10 / $112.11	Professional		$109.10	$109.10	$112.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.61 / $528.36 / $938.18	Facility		$245.61	$528.36	$938.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $109.67 / $172.35	Professional		$77.80	$109.67	$172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $130.56 / $198.22	Professional		$81.67	$130.56	$198.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $111.49 / $180.56	Professional		$60.00	$111.49	$180.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $104.93 / $144.72	Facility		$68.23	$104.93	$144.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $143.00 / $240.66	Professional		$85.07	$143.00	$240.66
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $161.21 / $240.69	Professional		$120.00	$161.21	$240.69