Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $90.45 / $152.53	Professional		$63.41	$90.45	$152.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $106.37 / $106.37	Professional		$106.37	$106.37	$106.37
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 $73.41 / $105.57 / $172.35	Professional		$73.41	$105.57	$172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $125.45 / $190.53	Professional		$79.44	$125.45	$190.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $111.49 / $180.42	Professional		$60.00	$111.49	$180.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.17 / $104.20 / $147.01	Facility		$68.17	$104.20	$147.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $138.52 / $227.85	Professional		$82.74	$138.52	$227.85
United Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $163.99 / $232.87	Professional		$121.92	$163.99	$232.87