Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.66 / $107.28 / $126.21	Facility		$94.66	$107.28	$126.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $96.96 / $126.21	Professional		$75.51	$96.96	$126.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $76.36 / $105.72	Professional		$71.33	$76.36	$105.72
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 $62.86 / $75.27 / $104.76	Professional		$62.86	$75.27	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $91.00 / $168.13	Professional		$60.00	$91.00	$168.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $150.60 / $179.59	Professional		$32.34	$150.60	$179.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.38 / $114.16 / $151.63	Facility		$82.38	$114.16	$151.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $87.00 / $171.00	Professional		$60.00	$87.00	$171.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $106.92 / $188.24	Professional		$75.00	$106.92	$188.24