Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.58 / $182.58 / $182.58	Facility		$182.58	$182.58	$182.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $83.25 / $161.50	Professional		$56.64	$83.25	$161.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $102.48 / $103.24	Professional		$96.41	$102.48	$103.24
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 / $96.42 / $133.66	Professional		$61.70	$96.42	$133.66
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 / $113.48 / $175.04	Professional		$71.65	$113.48	$175.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $102.96 / $176.50	Professional		$60.00	$102.96	$176.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $90.77 / $123.84	Facility		$60.05	$90.77	$123.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $124.61 / $211.19	Professional		$74.63	$124.61	$211.19
United Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $141.47 / $211.13	Professional		$102.07	$141.47	$211.13