Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.77 / $142.16 / $195.03	Professional		$97.77	$142.16	$195.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $182.71 / $182.71 / $231.89	Professional	25	$182.71	$182.71	$231.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $133.96 / $133.96	Professional		$133.96	$133.96	$133.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $103.81 / $154.06	Professional		$66.15	$103.81	$154.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.33 / $143.12 / $231.91	Professional		$76.33	$143.12	$231.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $189.81 / $249.33	Professional		$32.34	$189.81	$249.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.63 / $128.37 / $178.05	Facility		$92.63	$128.37	$178.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $152.66 / $231.91	Professional		$87.59	$152.66	$231.91
United Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $168.00 / $247.66	Professional		$117.04	$168.00	$247.66