Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.77 / $718.94 / $718.94	Facility		$537.77	$718.94	$718.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.48 / $233.99 / $298.00	Professional		$196.48	$233.99	$298.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $239.65 / $243.59	Professional		$236.17	$239.65	$243.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.65 / $1,392.10 / $2,268.41	Facility		$379.65	$1,392.10	$2,268.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $415.74 / $727.51	Professional		$283.31	$415.74	$727.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $422.37	Professional		$50.00	$60.00	$422.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.93 / $227.01 / $280.07	Facility		$211.93	$227.01	$280.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $276.44 / $364.27 / $463.45	Professional		$276.44	$364.27	$463.45
United Facility/Professional Professional Modifier Low / Median / High Price $252.47 / $349.27 / $520.61	Professional		$252.47	$349.27	$520.61