Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.60 / $135.79 / $181.05	Facility		$122.60	$135.79	$181.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $127.51 / $189.68	Professional		$98.16	$127.51	$189.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $113.32 / $160.71	Professional		$85.46	$113.32	$160.71
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 $80.09 / $103.63 / $144.63	Professional		$80.09	$103.63	$144.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $108.00 / $214.00	Professional		$68.00	$108.00	$214.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $182.53 / $264.79	Professional		$32.34	$182.53	$264.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.44 / $144.24 / $181.00	Facility		$120.44	$144.24	$181.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $100.00 / $211.99	Professional		$65.00	$100.00	$211.99
United Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $147.07 / $235.20	Professional		$85.49	$147.07	$235.20