Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.40 / $241.40 / $241.40	Facility		$241.40	$241.40	$241.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $96.87 / $221.11	Professional		$64.93	$96.87	$221.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $114.38 / $119.20	Professional		$101.32	$114.38	$119.20
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 / $143.87	Professional		$61.70	$102.84	$143.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $114.80 / $114.80	Facility		$114.80	$114.80	$114.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $126.73 / $195.87	Professional		$81.67	$126.73	$195.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $98.99 / $178.68	Professional		$60.00	$98.99	$178.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $103.05 / $139.94	Facility		$68.67	$103.05	$139.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $140.69 / $238.93	Professional		$86.49	$140.69	$238.93
United Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $162.66 / $239.76	Professional		$115.20	$162.66	$239.76