Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,494.40 / $3,494.40 / $3,494.40	Facility		$3,494.40	$3,494.40	$3,494.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $105.18 / $278.52	Professional		$86.17	$105.18	$278.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $101.12 / $184.29 / $362.70	Professional	25	$101.12	$184.29	$362.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.13 / $101.13 / $101.13	Professional		$101.13	$101.13	$101.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $101.02 / $101.02 / $101.02	Professional	25	$101.02	$101.02	$101.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $113.28 / $193.76	Professional		$66.73	$113.28	$193.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $159.26 / $221.77	Professional		$107.44	$159.26	$221.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $184.74	Professional		$32.34	$32.34	$184.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.15 / $124.94 / $172.55	Facility		$92.15	$124.94	$172.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.02 / $179.26 / $291.64	Professional		$122.02	$179.26	$291.64
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $171.72 / $247.79	Professional		$125.95	$171.72	$247.79
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $90.00 / $234.81	Professional	25	$80.00	$90.00	$234.81