Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $257.04	Professional		$120.23	$147.91	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $107.15	Professional		$91.20	$91.20	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $186.21	Professional		$83.18	$109.65	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $263.03	Professional		$125.89	$181.97	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $309.03	Professional		$125.89	$181.97	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $281.84	Professional		$131.83	$190.55	$281.84