Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.30 / $893.76 / $893.76	Facility		$242.30	$893.76	$893.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $178.21 / $564.99	Professional		$176.45	$178.21	$564.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.01 / $1,254.98 / $2,044.97	Facility		$494.01	$1,254.98	$2,044.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.46 / $172.56 / $183.28	Professional		$137.46	$172.56	$183.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $460.73	Facility		$176.45	$176.45	$460.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $232.78 / $339.00	Professional		$226.00	$232.78	$339.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $224.09 / $542.03	Facility		$176.45	$224.09	$542.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $225.99	Professional		$176.45	$176.45	$225.99
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $187.04	Professional		$176.45	$176.45	$187.04