Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.57 / $224.57 / $224.57	Facility		$224.57	$224.57	$224.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.50 / $247.18 / $1,583.22	Professional		$219.50	$247.18	$1,583.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.56 / $411.56 / $411.56	Professional		$411.56	$411.56	$411.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.37 / $365.83 / $435.90	Professional		$274.37	$365.83	$435.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $264.44 / $264.44	Facility		$264.44	$264.44	$264.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $264.44	Professional		$193.04	$264.44	$264.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $366.36 / $457.96 / $686.94	Professional		$366.36	$457.96	$686.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $132.55 / $344.16	Facility		$132.55	$132.55	$344.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $482.28	Professional		$193.04	$264.44	$482.28
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $205.32 / $309.27	Professional		$186.43	$205.32	$309.27