Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $107.80 / $212.11	Professional		$72.93	$107.80	$212.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $122.58 / $132.13	Professional		$112.31	$122.58	$132.13
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 $87.98 / $119.84 / $172.35	Professional		$87.98	$119.84	$172.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $143.21 / $217.26	Professional		$92.16	$143.21	$217.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $112.98 / $197.83	Professional		$60.00	$112.98	$197.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.22 / $116.83 / $157.13	Facility		$77.22	$116.83	$157.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $156.49 / $267.89	Professional		$96.00	$156.49	$267.89
United Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $183.76 / $263.91	Professional		$130.10	$183.76	$263.91