Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $173.78	Facility		$93.33	$169.82	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $295.12	Professional		$67.61	$112.20	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $123.03	Professional		$91.20	$107.15	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $933.25 / $1,513.56	Facility		$371.54	$933.25	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $147.91	Professional		$93.33	$112.20	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $138.04 / $204.17	Professional		$79.43	$138.04	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $194.98	Facility		$100.00	$131.83	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $245.47	Professional		$87.10	$154.88	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $177.83	Professional		$104.71	$144.54	$177.83