Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $55.56 / $85.31	Facility		$31.08	$55.56	$85.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $55.56 / $386.91	Professional		$36.50	$55.56	$386.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $105.31 / $106.43	Professional		$105.31	$105.31	$106.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.30 / $556.91 / $985.97	Facility		$164.30	$556.91	$985.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $90.51 / $107.85	Professional		$67.88	$90.51	$107.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $70.80	Facility		$70.80	$70.80	$70.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $139.13	Professional		$51.68	$51.68	$139.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $113.31 / $169.96	Professional		$90.64	$113.31	$169.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.50 / $36.50 / $85.15	Facility		$36.50	$36.50	$85.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $70.80 / $132.78	Professional		$51.68	$70.80	$132.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $56.53 / $85.15	Professional		$51.33	$56.53	$85.15