Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $158.49	Facility		$114.82	$151.36	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $138.04	Professional		$70.79	$75.86	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $91.20	Professional		$74.13	$85.11	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $338.84 / $549.54	Facility		$154.88	$338.84	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $83.18	Professional		$61.66	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $162.18	Facility		$51.29	$72.44	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $79.43	Facility		$75.86	$75.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $89.13	Professional		$81.28	$87.10	$89.13