Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $169.82	Facility		$114.82	$154.88	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $177.83	Professional		$100.00	$125.89	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $173.78	Professional		$95.50	$128.82	$173.78
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 $89.13 / $107.15 / $138.04	Professional		$89.13	$107.15	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $234.42	Professional		$100.00	$165.96	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $151.36 / $257.04	Professional		$32.36	$151.36	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $213.80	Facility		$123.03	$154.88	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $229.09	Professional		$100.00	$158.49	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $288.40	Professional		$107.15	$158.49	$288.40