Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $331.13	Professional		$125.89	$169.82	$331.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $181.97 / $263.03 / $354.81	Professional	25	$181.97	$263.03	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $151.36 / $186.21	Professional		$1.00	$151.36	$186.21
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $125.89 / $141.25 / $158.49	Professional	25	$125.89	$141.25	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $602.56 / $977.24	Facility		$354.81	$602.56	$977.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $218.78	Professional		$117.49	$154.88	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $194.98	Professional		$147.91	$147.91	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $323.59	Facility		$138.04	$194.98	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $194.98	Professional		$141.25	$141.25	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $338.84	Professional		$162.18	$239.88	$338.84