Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.79 / $153.51 / $288.89	Facility		$121.79	$153.51	$288.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $120.51 / $157.69	Professional		$89.09	$120.51	$157.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $116.24 / $122.81	Professional		$101.72	$116.24	$122.81
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 $74.16 / $92.76 / $123.60	Professional		$74.16	$92.76	$123.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $134.00 / $196.10	Professional		$91.00	$134.00	$196.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $110.66 / $202.88	Professional		$32.34	$110.66	$202.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $130.59 / $185.52	Facility		$94.44	$130.59	$185.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $134.00 / $196.10	Professional		$92.00	$134.00	$196.10
United Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $170.45 / $266.02	Professional		$118.92	$170.45	$266.02