Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.07 / $157.44 / $211.76	Facility		$110.07	$157.44	$211.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.03 / $158.52 / $211.93	Professional		$105.03	$158.52	$211.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.76 / $151.76 / $179.52	Professional		$151.76	$151.76	$179.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $225.62 / $300.60	Professional		$152.65	$225.62	$300.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $160.11 / $245.54	Professional		$60.00	$160.11	$245.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.56 / $182.34 / $242.84	Facility		$126.56	$182.34	$242.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.98 / $242.97 / $376.56	Professional		$163.98	$242.97	$376.56
United Facility/Professional Professional Modifier Low / Median / High Price $188.28 / $265.72 / $368.06	Professional		$188.28	$265.72	$368.06