Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $98.63 / $141.51	Facility		$68.73	$98.63	$141.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $107.35 / $141.94	Professional		$69.20	$107.35	$141.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.48 / $120.84 / $163.15	Professional		$106.48	$120.84	$163.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $146.62 / $199.41	Professional		$100.12	$146.62	$199.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $111.89 / $172.21	Professional		$60.00	$111.89	$172.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $123.18 / $164.48	Facility		$83.97	$123.18	$164.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $161.69 / $247.99	Professional		$107.14	$161.69	$247.99
United Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $176.55 / $247.79	Professional		$125.64	$176.55	$247.79