Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $200.48 / $204.27	Facility		$200.48	$200.48	$204.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $266.00 / $305.77	Professional		$204.27	$266.00	$305.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.00 / $221.00 / $221.00	Professional		$221.00	$221.00	$221.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.26 / $237.66 / $436.44	Professional		$139.26	$237.66	$436.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $368.58 / $515.54	Professional		$275.12	$368.58	$515.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $388.58	Professional		$32.34	$32.34	$388.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.63 / $234.57 / $299.51	Facility		$202.63	$234.57	$299.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.69 / $380.65 / $564.37	Professional		$271.69	$380.65	$564.37
United Facility/Professional Professional Modifier Low / Median / High Price $328.42 / $410.48 / $579.07	Professional		$328.42	$410.48	$579.07