Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $229.09	Professional		$83.18	$104.71	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $147.91	Professional		$97.72	$123.03	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $194.98	Professional		$104.71	$147.91	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $131.83 / $234.42	Facility		$93.33	$131.83	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $223.87	Professional		$104.71	$158.49	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $208.93	Professional		$102.33	$151.36	$208.93