Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.32 / $107.32 / $108.95	Facility		$107.32	$107.32	$108.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.95 / $130.84 / $164.87	Professional		$108.95	$130.84	$164.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $118.91 / $127.87	Professional		$118.48	$118.91	$127.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $127.30 / $233.69	Professional		$73.52	$127.30	$233.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $197.42 / $272.85	Professional		$146.91	$197.42	$272.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.46	Professional		$32.34	$32.34	$208.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.71 / $125.71 / $159.79	Facility		$108.71	$125.71	$159.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.75 / $201.50 / $300.44	Professional		$145.75	$201.50	$300.44
United Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $212.85 / $305.73	Professional		$173.40	$212.85	$305.73