Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.30 / $195.05 / $258.76	Facility		$136.30	$195.05	$258.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $195.05 / $259.79	Professional		$138.28	$195.05	$259.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $196.43 / $276.00	Professional		$170.13	$196.43	$276.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.39 / $240.39 / $240.39	Facility		$240.39	$240.39	$240.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $278.23 / $372.66	Professional		$200.56	$278.23	$372.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $210.00 / $321.42	Professional		$60.00	$210.00	$321.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.17 / $232.14 / $301.33	Facility		$170.17	$232.14	$301.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $210.31 / $304.39 / $487.72	Professional		$210.31	$304.39	$487.72
United Facility/Professional Professional Modifier Low / Median / High Price $229.32 / $324.79 / $452.16	Professional		$229.32	$324.79	$452.16