Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $202.21 / $321.89	Professional		$166.28	$202.21	$321.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $192.13 / $203.59	Professional		$186.92	$192.13	$203.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.62 / $159.15 / $268.58	Professional		$143.62	$159.15	$268.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $228.74	Facility		$228.74	$228.74	$228.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $264.63 / $352.84	Professional		$198.17	$264.63	$352.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $311.31	Professional		$32.34	$32.34	$311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.58 / $212.69 / $276.94	Facility		$178.58	$212.69	$276.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.29 / $301.58 / $530.44	Professional		$198.29	$301.58	$530.44
United Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $256.27 / $371.33	Professional		$188.28	$256.27	$371.33