Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $135.16 / $135.16	Facility		$135.16	$135.16	$135.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $147.11 / $616.00	Professional		$58.00	$147.11	$616.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $200.72 / $206.76	Professional		$200.72	$200.72	$206.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.51 / $1,880.74 / $3,513.67	Facility		$585.51	$1,880.74	$3,513.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.16 / $220.21 / $262.38	Professional		$165.16	$220.21	$262.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $135.00	Professional		$98.55	$135.00	$135.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $323.04 / $403.80 / $605.70	Professional		$323.04	$403.80	$605.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $78.89 / $207.15	Facility		$78.89	$78.89	$207.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $313.62	Professional		$98.55	$135.00	$313.62
United Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $122.20 / $184.07	Professional		$110.95	$122.20	$184.07