Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $54.54 / $294.00	Professional		$41.81	$54.54	$294.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $54.66 / $66.41	Professional		$51.70	$54.66	$66.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.39 / $241.78 / $429.31	Facility		$112.39	$241.78	$429.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $38.61 / $68.86	Professional		$22.73	$38.61	$68.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $83.44	Professional		$32.34	$32.34	$83.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $42.63 / $64.73	Facility		$27.01	$42.63	$64.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $63.49 / $145.56	Professional		$48.80	$63.49	$145.56
United Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $72.68 / $111.19	Professional		$32.40	$72.68	$111.19