Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $512.86	Facility		$107.15	$112.20	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $190.55	Professional		$102.33	$131.83	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $501.19 / $812.83	Facility		$138.04	$501.19	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $218.78	Professional		$107.15	$173.78	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $79.43	Professional		$54.95	$60.26	$79.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $117.49 / $154.88	Facility		$75.86	$117.49	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $245.47	Professional		$134.90	$173.78	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $446.68 / $446.68	Facility		$199.53	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $281.84	Professional		$151.36	$173.78	$281.84