Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $707.95	Professional		$194.98	$302.00	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $281.84 / $309.03	Professional		$257.04	$281.84	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $380.19	Professional		$208.93	$275.42	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $512.86	Professional		$239.88	$354.81	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $331.13 / $537.03	Facility		$251.19	$331.13	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $645.65	Professional		$263.03	$363.08	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $478.63	Professional		$257.04	$338.84	$478.63