Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.55 / $148.44 / $166.21	Facility		$118.55	$148.44	$166.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.57 / $123.77 / $163.18	Professional		$98.57	$123.77	$163.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.90 / $115.90 / $120.83	Professional		$115.90	$115.90	$120.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.13 / $197.13 / $197.13	Facility		$197.13	$197.13	$197.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $89.57 / $127.90	Professional		$76.73	$89.57	$127.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $164.92 / $243.56	Professional		$102.68	$164.92	$243.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $202.79	Professional		$32.34	$32.34	$202.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.75 / $142.04 / $191.97	Facility		$105.75	$142.04	$191.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $154.02 / $230.42	Professional		$93.99	$154.02	$230.42
United Facility/Professional Professional Modifier Low / Median / High Price $96.86 / $191.50 / $302.57	Professional		$96.86	$191.50	$302.57