Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $549.54	Professional		$251.19	$302.00	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $588.84	Professional		$371.54	$501.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $741.31	Professional		$234.42	$234.42	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,380.38	Professional		$724.44	$912.01	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $457.09 / $691.83	Facility		$162.18	$457.09	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $741.31	Professional		$234.42	$234.42	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $691.83	Facility		$194.98	$281.84	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $380.19	Professional		$229.09	$251.19	$380.19