Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $106.68 / $253.80	Professional		$73.12	$106.68	$253.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $111.81 / $121.52	Professional		$82.06	$111.81	$121.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $102.84 / $160.38	Professional		$61.70	$102.84	$160.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $124.66 / $124.66	Facility		$124.66	$124.66	$124.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $138.43 / $208.65	Professional		$92.16	$138.43	$208.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $121.16 / $190.07	Professional		$60.00	$121.16	$190.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.64 / $111.34 / $149.41	Facility		$77.64	$111.34	$149.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $153.81 / $257.97	Professional		$95.25	$153.81	$257.97
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $173.88 / $255.59	Professional		$126.00	$173.88	$255.59