Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.80 / $58.80 / $58.80	Facility		$58.80	$58.80	$58.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $58.80 / $236.00	Professional		$41.00	$58.80	$236.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $69.41 / $69.41	Professional		$69.41	$69.41	$69.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.69 / $818.11 / $1,528.42	Facility		$254.69	$818.11	$1,528.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $95.79 / $114.13	Professional		$71.84	$95.79	$114.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $58.00 / $58.00	Facility		$58.00	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $58.00	Professional		$42.34	$58.00	$58.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $175.65 / $263.47	Professional		$140.52	$175.65	$263.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $90.11	Facility		$28.97	$28.97	$90.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $58.00 / $129.22	Professional		$42.34	$58.00	$129.22
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.87 / $67.59	Professional		$40.74	$44.87	$67.59