Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $91.41 / $835.00	Professional		$78.09	$91.41	$835.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $104.81	Professional		$104.81	$104.81	$104.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.23 / $921.39 / $1,457.68	Facility		$741.23	$921.39	$1,457.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $101.80 / $126.72	Professional		$74.41	$101.80	$126.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.79 / $96.79 / $599.00	Facility		$96.79	$96.79	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $121.23 / $155.33	Professional		$84.37	$121.23	$155.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $145.94	Professional		$32.34	$32.34	$145.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.69 / $95.32 / $129.65	Facility		$76.69	$95.32	$129.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $134.12 / $225.52	Professional		$90.35	$134.12	$225.52
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $113.58 / $176.12	Professional		$84.14	$113.58	$176.12