Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $49.72 / $75.73	Facility		$17.76	$49.72	$75.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $49.73 / $254.07	Professional		$39.67	$49.73	$254.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $66.05 / $74.84	Professional		$49.54	$66.05	$74.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.29 / $450.62 / $841.87	Facility		$140.29	$450.62	$841.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $52.76 / $62.87	Professional		$39.57	$52.76	$62.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.70	Facility		$45.70	$45.70	$45.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $98.98	Professional		$33.36	$33.36	$98.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $96.75 / $145.12	Professional		$77.40	$96.75	$145.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $21.28 / $49.64	Facility		$21.28	$21.28	$49.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $45.70 / $103.20	Professional		$33.36	$45.70	$103.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $32.95 / $49.64	Professional		$29.92	$32.95	$49.64