Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $69.95 / $102.53	Facility		$48.92	$69.95	$102.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $80.42 / $140.00	Professional		$42.54	$80.42	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $68.22 / $68.22	Professional		$68.22	$68.22	$68.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.68 / $73.68 / $73.68	Facility		$73.68	$73.68	$73.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $103.77 / $146.09	Professional		$68.75	$103.77	$146.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $74.52 / $113.32	Professional		$50.00	$74.52	$113.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $92.51 / $139.12	Facility		$55.75	$92.51	$139.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $111.72 / $178.02	Professional		$74.20	$111.72	$178.02
United Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $130.05 / $179.46	Professional		$91.80	$130.05	$179.46