Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $308.82 / $507.39	Professional		$263.08	$308.82	$507.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.26 / $318.26 / $318.26	Professional		$318.26	$318.26	$318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $331.20 / $565.62	Professional		$316.83	$331.20	$565.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $477.70 / $633.54	Professional		$321.70	$477.70	$633.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $533.54	Professional		$32.34	$32.34	$533.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $270.95 / $392.40 / $533.17	Facility		$270.95	$392.40	$533.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.91 / $529.05 / $858.96	Professional		$349.91	$529.05	$858.96
United Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $496.60 / $700.76	Professional		$380.70	$496.60	$700.76