Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Facility		$416.87	$416.87	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $446.68	Professional		$281.84	$316.23	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $467.74	Professional		$223.87	$302.00	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $660.69	Professional		$354.81	$489.78	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $346.74 / $602.56	Facility		$288.40	$346.74	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $660.69	Professional		$338.84	$457.09	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $741.31	Professional		$363.08	$489.78	$741.31