Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $309.03	Professional		$251.19	$269.15	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $229.09	Professional		$87.10	$87.10	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $426.58	Professional		$22.91	$22.91	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Professional		$50.12	$60.26	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $275.42 / $338.84	Facility		$251.19	$275.42	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $331.13	Professional		$257.04	$257.04	$331.13