Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.37 / $213.37 / $213.37	Facility		$213.37	$213.37	$213.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $218.75 / $258.99	Professional		$200.41	$218.75	$258.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $187.54 / $262.54	Professional		$187.54	$187.54	$262.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.75 / $259.80 / $259.80	Professional		$248.75	$259.80	$259.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $389.10	Professional		$65.81	$65.81	$389.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $1,500.00	Professional		$50.00	$85.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.14 / $228.97 / $278.10	Facility		$211.14	$228.97	$278.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $2,250,000.00	Professional		$65.81	$65.81	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49