Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $124.84 / $182.96	Professional		$91.87	$124.84	$182.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $92.72 / $138.02 / $400.00	Professional	25	$92.72	$138.02	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.99 / $122.89 / $187.95	Professional		$105.99	$122.89	$187.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $112.62 / $122.89 / $129.24	Professional	25	$112.62	$122.89	$129.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.61 / $528.36 / $938.18	Facility		$245.61	$528.36	$938.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $121.10 / $187.62	Professional		$92.30	$121.10	$187.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.31	Professional		$32.34	$32.34	$198.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $127.74 / $152.03	Facility		$104.49	$127.74	$152.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $132.11 / $132.11	Professional		$116.36	$132.11	$132.11
United Facility/Professional Professional Modifier Low / Median / High Price $126.47 / $165.75 / $230.75	Professional		$126.47	$165.75	$230.75