Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $257.04	Facility		$81.28	$114.82	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $154.88	Professional		$72.44	$75.86	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $74.13	Professional		$72.44	$72.44	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $371.54 / $44,668.36	Facility		$102.33	$371.54	$44,668.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $91.20 / $109.65	Facility		$74.13	$91.20	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $109.65	Professional		$72.44	$77.62	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $75.86 / $123.03	Facility		$63.10	$75.86	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $77.62	Professional		$72.44	$74.13	$77.62