Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $77.54 / $155.33	Professional		$48.72	$77.54	$155.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.28 / $96.19 / $136.29	Professional		$92.28	$96.19	$136.29
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 $61.70 / $90.69 / $120.51	Professional		$61.70	$90.69	$120.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $105.27 / $163.81	Professional		$61.65	$105.27	$163.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $91.30 / $152.17	Professional		$58.10	$91.30	$152.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.74 / $84.13 / $114.24	Facility		$52.74	$84.13	$114.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $115.59 / $195.71	Professional		$66.72	$115.59	$195.71
United Facility/Professional Professional Modifier Low / Median / High Price $94.05 / $132.55 / $199.15	Professional		$94.05	$132.55	$199.15