Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $1,096.48	Professional		$162.18	$223.87	$1,096.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $501.19	Professional		$363.08	$371.54	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,949.84 / $3,311.31	Facility		$912.01	$1,949.84	$3,311.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $346.74	Professional		$218.78	$295.12	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $575.44	Professional		$169.82	$169.82	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $549.54	Professional		$295.12	$371.54	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $275.42 / $512.86	Facility		$117.49	$275.42	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $467.74	Professional		$169.82	$169.82	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $501.19	Facility		$141.25	$204.17	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $537.03	Professional		$169.82	$181.97	$537.03