Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $302.00	Professional		$54.95	$93.33	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $74.13	Professional		$53.70	$53.70	$74.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $56.23 / $79.43	Professional		$42.66	$56.23	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $151.36	Professional		$53.70	$95.50	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $141.25	Professional		$81.28	$104.71	$141.25