Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $77.01 / $96.73	Professional		$59.65	$77.01	$96.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $84.63 / $84.63	Professional		$84.63	$84.63	$84.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $70.12 / $128.38	Professional		$18.94	$70.12	$128.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $94.69 / $94.69	Facility		$94.69	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $113.40 / $153.61	Professional		$80.17	$113.40	$153.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $85.00 / $130.76	Professional		$51.40	$85.00	$130.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $90.52 / $123.43	Facility		$66.70	$90.52	$123.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.62 / $191.38	Professional		$83.18	$120.62	$191.38
United Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $126.50 / $178.05	Professional		$95.16	$126.50	$178.05