Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.99 / $130.32 / $166.49	Facility		$114.99	$130.32	$166.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $110.88 / $143.22	Professional		$87.75	$110.88	$143.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $104.32 / $105.00	Professional		$89.05	$104.32	$105.00
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 $66.55 / $87.35 / $113.85	Professional		$66.55	$87.35	$113.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $119.00 / $194.80	Professional		$83.00	$119.00	$194.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $114.63 / $191.04	Professional		$32.34	$114.63	$191.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $125.30 / $166.49	Facility		$96.53	$125.30	$166.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $119.00 / $195.95	Professional		$84.00	$119.00	$195.95
United Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $155.10 / $238.36	Professional		$111.08	$155.10	$238.36