Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.37 / $195.37 / $195.37	Facility		$195.37	$195.37	$195.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.37 / $227.90 / $1,459.69	Professional		$202.37	$227.90	$1,459.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $325.00 / $337.09	Professional		$325.00	$325.00	$337.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.70 / $318.27 / $379.22	Professional		$238.70	$318.27	$379.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $237.10 / $237.10	Facility		$237.10	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $237.10	Professional		$173.08	$237.10	$237.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $398.42 / $597.63	Professional		$318.73	$398.42	$597.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $122.21 / $299.42	Facility		$122.21	$122.21	$299.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $464.11	Professional		$173.08	$237.10	$464.11
United Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $189.30 / $285.14	Professional		$171.89	$189.30	$285.14