Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $120.23 / $169.82	Facility		$89.13	$120.23	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $204.17	Professional		$69.18	$91.20	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $114.82	Professional		$67.61	$91.20	$114.82
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 $61.66 / $75.86 / $97.72	Professional		$61.66	$75.86	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $141.25	Professional		$63.10	$79.43	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.82 / $151.36	Facility		$89.13	$114.82	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $125.89	Professional		$61.66	$81.28	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $162.18	Professional		$74.13	$112.20	$162.18