Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $562.34	Professional		$323.59	$416.87	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $398.11	Professional		$223.87	$223.87	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $562.34 / $812.83	Professional		$144.54	$562.34	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $724.44	Professional		$371.54	$524.81	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $173.78 / $263.03	Professional		$60.26	$173.78	$263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $489.78 / $758.58	Facility		$380.19	$489.78	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $724.44	Professional		$371.54	$512.86	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $741.31	Professional		$371.54	$524.81	$741.31