Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $109.65 / $114.82	Facility		$54.95	$109.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $181.97	Professional		$54.95	$112.20	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $134.90	Professional		$72.44	$95.50	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $104.71	Professional		$50.12	$85.11	$104.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $177.83	Facility		$72.44	$102.33	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $151.36	Professional		$72.44	$104.71	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $128.82	Professional		$72.44	$104.71	$128.82