Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Facility		$194.98	$194.98	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $489.78	Professional		$112.20	$144.54	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,445.44	Facility		$524.81	$891.25	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $190.55	Professional		$134.90	$138.04	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $269.15	Professional		$131.83	$190.55	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $295.12	Facility		$114.82	$173.78	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $331.13	Professional		$138.04	$199.53	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $295.12	Professional		$141.25	$204.17	$295.12