Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.50 / $195.50 / $195.50	Facility		$195.50	$195.50	$195.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $94.23 / $181.80	Professional		$64.75	$94.23	$181.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.53 / $112.88 / $164.41	Professional		$107.53	$112.88	$164.41
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 / $102.84 / $143.50	Professional		$61.70	$102.84	$143.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $125.51 / $191.73	Professional		$81.67	$125.51	$191.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $106.30 / $177.16	Professional		$60.00	$106.30	$177.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.70 / $99.99 / $136.63	Facility		$68.70	$99.99	$136.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $138.47 / $233.99	Professional		$84.48	$138.47	$233.99
United Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $164.16 / $232.25	Professional		$114.75	$164.16	$232.25