Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $138.04	Facility		$43.65	$61.66	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $74.13	Professional		$38.90	$39.81	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
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 $74.13 / $77.62 / $79.43	Professional		$74.13	$77.62	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $91.20	Facility		$39.81	$39.81	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $112.20	Professional		$46.77	$60.26	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $104.71	Facility		$39.81	$40.74	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $66.07	Professional		$7.94	$7.94	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77