Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $91.30 / $44,496.40	Facility		$91.30	$91.30	$44,496.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.89 / $112.14	Professional		$60.29	$60.89	$112.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.92 / $251.30 / $409.50	Facility		$98.92	$251.30	$409.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $55.42 / $75.97	Professional		$55.42	$55.42	$75.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $85.00	Facility		$60.29	$60.29	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $60.29	Professional		$60.29	$60.29	$60.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $86.10 / $125.40	Professional		$83.60	$86.10	$125.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $60.29 / $76.56	Facility		$60.29	$60.29	$76.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $72.78	Professional		$60.29	$60.29	$72.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $63.91	Professional		$60.29	$60.29	$63.91