Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $281.84	Professional		$33.11	$52.48	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $478.63 / $794.33	Facility		$223.87	$478.63	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $67.61	Professional		$36.31	$48.98	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $100.00	Professional		$48.98	$48.98	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $134.90	Professional		$63.10	$89.13	$134.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $70.79 / $114.82	Facility		$31.62	$70.79	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $104.71	Professional		$48.98	$48.98	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $151.36	Facility		$38.02	$54.95	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $48.98 / $74.13	Professional		$44.67	$48.98	$74.13