Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $162.18 / $245.47	Facility		$158.49	$162.18	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $446.68	Professional		$95.50	$147.91	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $181.97	Professional		$104.71	$134.90	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $177.83	Professional		$104.71	$138.04	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $251.19	Professional		$107.15	$158.49	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $245.47	Professional		$60.26	$147.91	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $257.04	Facility		$100.00	$151.36	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $309.03	Professional		$109.65	$173.78	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $269.15	Professional		$117.49	$169.82	$269.15