Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $125.94 / $146.19	Facility		$107.28	$125.94	$146.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $93.83 / $127.63	Professional		$71.47	$93.83	$127.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $91.30 / $110.26	Professional		$65.84	$91.30	$110.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.04 / $216.04 / $216.04	Facility		$216.04	$216.04	$216.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.87 / $71.66 / $95.26	Professional		$54.87	$71.66	$95.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $88.00 / $148.38	Professional		$60.00	$88.00	$148.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $144.87 / $165.66	Professional		$32.34	$144.87	$165.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.99 / $103.83 / $130.00	Facility		$82.99	$103.83	$130.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $83.35 / $145.94	Professional		$60.00	$83.35	$145.94
United Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $108.17 / $166.46	Professional		$73.16	$108.17	$166.46