Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Facility		$263.03	$263.03	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $467.74	Professional		$181.97	$218.78	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $302.00	Professional		$147.91	$194.98	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $426.58	Professional		$229.09	$309.03	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $389.05	Facility		$186.21	$223.87	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $426.58	Professional		$218.78	$288.40	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $478.63	Professional		$234.42	$316.23	$478.63