Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.16 / $196.83 / $314.70	Professional		$156.16	$196.83	$314.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.29 / $195.29 / $195.29	Professional		$195.29	$195.29	$195.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.24 / $193.65 / $357.24	Professional		$145.24	$193.65	$357.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $234.54	Facility		$234.54	$234.54	$234.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $183.31 / $183.31	Professional		$183.31	$183.31	$183.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.85 / $208.03 / $468.12	Facility		$167.85	$208.03	$468.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $264.98 / $546.29	Professional		$183.31	$264.98	$546.29
United Facility/Professional Professional Modifier Low / Median / High Price $219.78 / $297.00 / $421.74	Professional		$219.78	$297.00	$421.74