Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.44 / $66.44 / $66.44	Facility		$66.44	$66.44	$66.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $89.50 / $441.00	Professional		$81.37	$89.50	$441.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $116.12 / $116.12	Professional		$116.12	$116.12	$116.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.46 / $665.93 / $1,178.97	Facility		$196.46	$665.93	$1,178.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $108.23 / $128.96	Professional		$81.17	$108.23	$128.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.88 / $86.88 / $86.88	Facility		$86.88	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $86.88	Professional		$63.42	$86.88	$86.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $135.49 / $203.23	Professional		$108.39	$135.49	$203.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.64 / $43.64 / $101.82	Facility		$43.64	$43.64	$101.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $86.88 / $158.77	Professional		$63.42	$86.88	$158.77
United Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $67.59 / $101.82	Professional		$61.37	$67.59	$101.82