Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $107.18 / $168.53	Professional		$72.93	$107.18	$168.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $130.33 / $132.83	Professional		$130.33	$130.33	$132.83
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 $91.72 / $123.30 / $177.25	Professional		$91.72	$123.30	$177.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $146.13 / $224.28	Professional		$92.16	$146.13	$224.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $116.23 / $203.49	Professional		$60.00	$116.23	$203.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $119.45 / $158.30	Facility		$77.22	$119.45	$158.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.58 / $161.79 / $276.50	Professional		$99.58	$161.79	$276.50
United Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $185.76 / $272.36	Professional		$132.47	$185.76	$272.36