Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $416.87 / $707.95	Facility		$213.80	$416.87	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $263.03	Professional		$141.25	$186.21	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $501.19 / $812.83	Facility		$138.04	$501.19	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $213.80 / $363.08	Professional		$75.86	$213.80	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $302.00	Professional		$125.89	$234.42	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $91.20	Professional		$60.26	$64.57	$91.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $181.97 / $281.84	Facility		$104.71	$181.97	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $398.11	Professional		$204.17	$234.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,698.24 / $1,698.24	Facility		$758.58	$1,698.24	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $380.19	Professional		$190.55	$263.03	$380.19