Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $138.04 / $218.78	Facility		$134.90	$138.04	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $309.03	Professional		$81.28	$128.82	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $151.36	Professional		$100.00	$114.82	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $154.88	Professional		$89.13	$107.15	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $223.87	Professional		$97.72	$144.54	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $218.78	Professional		$70.79	$131.83	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $134.90 / $223.87	Facility		$85.11	$134.90	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $154.88 / $269.15	Professional		$97.72	$154.88	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $239.88	Professional		$104.71	$151.36	$239.88