Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,122.02	Facility		$501.19	$501.19	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $478.63	Professional		$81.28	$102.33	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $144.54	Professional		$95.50	$144.54	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $158.49	Professional		$60.26	$112.20	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $87.10 / $173.78	Facility		$83.18	$87.10	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11