Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $107.84 / $430.00	Professional		$65.41	$107.84	$430.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $68.98 / $68.98	Professional		$68.98	$68.98	$68.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $69.15 / $137.28	Professional		$49.20	$69.15	$137.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $125.21 / $189.09	Professional		$78.08	$125.21	$189.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $103.33	Professional		$32.34	$32.34	$103.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $127.06 / $216.31	Professional		$78.08	$127.06	$216.31
United Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $151.32 / $216.62	Professional		$98.85	$151.32	$216.62