Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $204.17	Facility		$128.82	$131.83	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $323.59	Professional		$79.43	$123.03	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $141.25	Professional		$89.13	$112.20	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $141.25	Professional		$83.18	$102.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $208.93	Professional		$89.13	$131.83	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $204.17	Professional		$60.26	$123.03	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $125.89 / $208.93	Facility		$81.28	$125.89	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $251.19	Professional		$91.20	$144.54	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $223.87	Professional		$95.50	$141.25	$223.87