Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.62 / $100.61 / $100.61	Facility		$42.62	$100.61	$100.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $69.45 / $85.00	Professional		$58.00	$69.45	$85.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $97.20 / $97.20	Professional		$97.20	$97.20	$97.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.99 / $426.23 / $714.05	Facility		$118.99	$426.23	$714.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $54.23 / $78.39	Professional		$40.67	$54.23	$78.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $84.97	Facility		$84.97	$84.97	$84.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $84.97	Professional		$62.03	$84.97	$84.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $82.06 / $123.09	Professional		$65.64	$82.06	$123.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $84.97	Facility		$49.72	$49.72	$84.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $103.47	Professional		$62.03	$84.97	$103.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $55.35 / $86.84	Professional		$52.10	$55.35	$86.84