Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $758.58	Professional		$58.88	$91.20	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $72.44	Professional		$52.48	$63.10	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $79.43	Professional		$43.65	$56.23	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $131.83	Professional		$63.10	$95.50	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $158.49	Professional		$64.57	$97.72	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $134.90	Professional		$64.57	$97.72	$134.90