Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $130.40 / $380.70	Facility		$77.19	$130.40	$380.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $96.46 / $182.15	Professional		$64.76	$96.46	$182.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.28 / $117.06 / $312.00	Professional	25	$63.28	$117.06	$312.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $104.25 / $185.83	Professional		$77.43	$104.25	$185.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $103.53 / $105.80 / $114.02	Professional	25	$103.53	$105.80	$114.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $96.23 / $137.75	Professional		$57.74	$96.23	$137.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.51 / $140.00 / $175.00	Facility		$109.51	$140.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $121.97 / $177.79	Professional		$84.93	$121.97	$177.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.33	Professional		$32.34	$32.34	$171.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.16 / $104.15 / $130.77	Facility		$68.16	$104.15	$130.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.93 / $137.60 / $219.23	Professional		$84.93	$137.60	$219.23
United Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $146.35 / $213.23	Professional		$103.56	$146.35	$213.23