Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $331.13 / $398.11	Facility		$323.59	$331.13	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $363.08	Professional		$213.80	$251.19	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $467.74	Professional		$177.83	$239.88	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $524.81	Professional		$281.84	$389.05	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $275.42 / $478.63	Facility		$229.09	$275.42	$478.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $524.81	Professional		$269.15	$363.08	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $588.84	Professional		$295.12	$389.05	$588.84