Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.77 / $118.77 / $118.77	Facility		$118.77	$118.77	$118.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $103.03	Professional		$75.03	$75.78	$103.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $75.03	Professional		$75.03	$75.03	$75.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.51 / $454.69 / $763.78	Facility		$184.51	$454.69	$763.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $80.25 / $108.34	Professional		$80.25	$80.25	$108.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $75.02 / $105.97	Facility		$75.02	$75.02	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $75.02	Professional		$75.02	$75.02	$75.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $123.37 / $181.05	Professional		$120.70	$123.37	$181.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $75.03 / $97.43	Facility		$51.71	$75.03	$97.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $100.99	Professional		$75.02	$75.02	$100.99
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $79.53	Professional		$75.03	$75.03	$79.53