Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.77 / $153.52 / $196.86	Facility		$27.77	$153.52	$196.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $145.66 / $190.00	Professional		$108.72	$145.66	$190.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $120.62 / $171.51	Professional		$94.42	$120.62	$171.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.99 / $150.99 / $150.99	Facility		$150.99	$150.99	$150.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $117.05 / $163.37	Professional		$72.92	$117.05	$163.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $129.00 / $246.00	Professional		$65.00	$129.00	$246.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $249.22 / $328.96	Professional		$32.34	$249.22	$328.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.58 / $161.09 / $195.66	Facility		$138.58	$161.09	$195.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $123.00 / $246.00	Professional		$75.00	$123.00	$246.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $174.86 / $268.87	Professional		$87.15	$174.86	$268.87