Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.45 / $184.45 / $184.45	Facility		$184.45	$184.45	$184.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $83.25 / $164.28	Professional		$56.64	$83.25	$164.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $150.15 / $150.15	Professional		$96.41	$150.15	$150.15
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 / $96.71 / $132.99	Professional		$61.70	$96.71	$132.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.37 / $97.37 / $97.37	Facility		$97.37	$97.37	$97.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $113.86 / $175.57	Professional		$71.65	$113.86	$175.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $97.37 / $162.29	Professional		$60.00	$97.37	$162.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.01 / $91.01 / $124.22	Facility		$60.01	$91.01	$124.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $124.99 / $211.75	Professional		$74.63	$124.99	$211.75
United Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $144.96 / $211.83	Professional		$105.00	$144.96	$211.83