Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $136.93 / $230.15	Professional		$98.34	$136.93	$230.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $148.72 / $153.56	Professional		$137.12	$148.72	$153.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $150.16 / $216.91	Professional		$103.41	$150.16	$216.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $163.28 / $163.28	Facility		$163.28	$163.28	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $181.87 / $273.98	Professional		$124.32	$181.87	$273.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $141.57 / $247.97	Professional		$60.00	$141.57	$247.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.48 / $145.86 / $200.30	Facility		$103.48	$145.86	$200.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.07 / $204.51 / $335.57	Professional		$125.07	$204.51	$335.57
United Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $232.96 / $332.16	Professional		$169.92	$232.96	$332.16