Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $154.88 / $158.49	Facility		$85.11	$154.88	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $251.19	Professional		$77.62	$128.82	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $204.17	Professional		$102.33	$131.83	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $147.91	Professional		$50.12	$100.00	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $213.80	Facility		$100.00	$151.36	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $213.80	Professional		$102.33	$144.54	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $199.53	Professional		$100.00	$162.18	$199.53