Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $85.64 / $156.25	Professional		$56.64	$85.64	$156.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $107.10 / $108.00	Professional		$91.80	$107.10	$108.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.61 / $528.36 / $938.18	Facility		$245.61	$528.36	$938.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $103.41 / $172.35	Professional		$68.65	$103.41	$172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $116.05 / $182.48	Professional		$72.98	$116.05	$182.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $119.07 / $198.46	Professional		$60.00	$119.07	$198.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $96.51 / $137.06	Facility		$59.53	$96.51	$137.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $130.28 / $213.24	Professional		$74.63	$130.28	$213.24
United Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $151.79 / $220.27	Professional		$112.68	$151.79	$220.27