Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $812.83	Professional		$138.04	$186.21	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Professional		$251.19	$251.19	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,659.59 / $2,818.38	Facility		$776.25	$1,659.59	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $295.12	Professional		$186.21	$251.19	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $457.09	Professional		$141.25	$141.25	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $467.74	Professional		$251.19	$309.03	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $234.42 / $389.05	Facility		$100.00	$234.42	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $501.19	Professional		$141.25	$141.25	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $426.58	Facility		$120.23	$173.78	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $234.42	Professional		$141.25	$154.88	$234.42