Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.80 / $164.80 / $164.80	Facility		$164.80	$164.80	$164.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $164.80 / $280.66	Professional		$157.46	$164.80	$280.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $188.50	Professional		$135.00	$135.00	$188.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.53 / $987.01 / $1,608.32	Facility		$388.53	$987.01	$1,608.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.45 / $279.45 / $293.42	Professional		$279.45	$279.45	$293.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $227.29 / $227.29	Facility		$227.29	$227.29	$227.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $190.61 / $513.75	Professional		$60.00	$190.61	$513.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.97 / $192.52 / $292.57	Facility		$134.97	$192.52	$292.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $328.44	Professional		$156.72	$156.72	$328.44
United Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $313.33 / $424.22	Professional		$203.19	$313.33	$424.22