Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $167.28 / $568.00	Professional		$123.81	$167.28	$568.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.27 / $113.27 / $126.18	Professional		$113.27	$113.27	$126.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $119.02 / $177.94	Professional		$87.54	$119.02	$177.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.25 / $195.11 / $244.93	Professional		$133.25	$195.11	$244.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $178.84	Professional		$32.34	$32.34	$178.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $214.76 / $363.89	Professional		$142.50	$214.76	$363.89
United Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $217.24 / $332.60	Professional		$146.15	$217.24	$332.60