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 $33.00 / $153.37 / $610.00	Professional		$33.00	$153.37	$610.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $227.48 / $230.00	Professional		$227.48	$227.48	$230.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.71 / $1,354.91 / $2,398.66	Facility		$399.71	$1,354.91	$2,398.66
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 $142.00 / $142.00 / $142.00	Facility		$142.00	$142.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $142.00	Professional		$103.66	$142.00	$142.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.52 / $275.66 / $413.49	Professional		$220.52	$275.66	$413.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $179.40 / $179.40	Facility		$142.00	$179.40	$179.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $142.00 / $313.62	Professional		$103.66	$142.00	$313.62
United Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $122.20 / $191.71	Professional		$115.03	$122.20	$191.71