Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $147.91 / $190.55	Facility		$123.03	$147.91	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $302.00	Professional		$123.03	$162.18	$302.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	25	$234.42	$234.42	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $218.78	Professional		$128.82	$158.49	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $141.25 / $181.97	Professional		$117.49	$141.25	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $331.13	Professional		$60.26	$147.91	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $190.55 / $269.15	Facility		$154.88	$190.55	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $239.88	Professional		$60.26	$151.36	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $269.15	Professional		$128.82	$190.55	$269.15