Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $181.97	Facility		$70.79	$138.04	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $208.93	Professional		$69.18	$107.15	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $109.65	Professional		$83.18	$107.15	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $194.98	Professional		$93.33	$131.83	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $169.82	Professional		$60.26	$112.20	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $213.80	Facility		$87.10	$134.90	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $245.47	Professional		$93.33	$147.91	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $223.87	Professional		$100.00	$151.36	$223.87