Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $138.81 / $138.81	Facility		$138.81	$138.81	$138.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.81 / $218.79 / $227.91	Professional		$138.81	$218.79	$227.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $75.59 / $97.40	Professional		$56.70	$75.59	$97.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.38 / $1,000.00	Professional		$60.00	$119.38	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $32.54 / $161.86	Facility		$23.43	$32.54	$161.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $2,250,000.00	Professional		$182.29	$182.29	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.72 / $264.99 / $427.60	Professional		$186.72	$264.99	$427.60