Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $26.27 / $63.47	Facility		$26.27	$26.27	$63.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $63.47 / $479.55	Professional		$40.14	$63.47	$479.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $141.28 / $141.28	Professional		$118.44	$141.28	$141.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.67 / $636.16 / $1,126.24	Facility		$187.67	$636.16	$1,126.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.55 / $103.40 / $123.20	Professional		$77.55	$103.40	$123.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $86.64	Facility		$86.64	$86.64	$86.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $86.64	Professional		$63.25	$86.64	$86.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $129.43 / $194.14	Professional		$103.54	$129.43	$194.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $40.15 / $97.27	Facility		$40.15	$40.15	$97.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $86.64 / $151.68	Professional		$63.25	$86.64	$151.68
United Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $62.19 / $93.69	Professional		$56.47	$62.19	$93.69