Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.96 / $254.96 / $259.56	Facility		$254.96	$254.96	$259.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $315.02 / $396.11	Professional		$259.56	$315.02	$396.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $295.18 / $295.18	Professional		$295.18	$295.18	$295.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $296.31 / $716.18	Professional		$177.79	$296.31	$716.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $470.35 / $657.32	Professional		$346.11	$470.35	$657.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $492.98	Professional		$32.34	$32.34	$492.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.07 / $299.37 / $380.13	Facility		$257.07	$299.37	$380.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.02 / $486.03 / $720.29	Professional		$342.02	$486.03	$720.29
United Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $505.44 / $739.45	Professional		$421.20	$505.44	$739.45