Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.84 / $1,289.74 / $2,063.58	Facility		$193.84	$1,289.74	$2,063.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $178.31 / $276.14	Professional		$138.21	$178.31	$276.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.41 / $2,670.95 / $4,352.28	Facility		$728.41	$2,670.95	$4,352.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $441.13 / $618.00	Professional		$240.67	$441.13	$618.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $253.42	Professional		$50.00	$70.00	$253.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.60 / $217.11 / $276.14	Facility		$126.60	$217.11	$276.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $240.67 / $357.68 / $521.62	Professional		$240.67	$357.68	$521.62
United Facility/Professional Professional Modifier Low / Median / High Price $185.18 / $271.85 / $592.33	Professional		$185.18	$271.85	$592.33