Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.96 / $152.96 / $152.96	Facility		$152.96	$152.96	$152.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.96 / $195.32 / $368.41	Professional		$152.96	$195.32	$368.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $248.57 / $346.66	Professional		$248.57	$248.57	$346.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $2,288.36 / $3,976.15	Facility		$662.58	$2,288.36	$3,976.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.89 / $249.19 / $296.91	Professional		$186.89	$249.19	$296.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $214.16	Facility		$214.16	$214.16	$214.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $214.16	Professional		$156.34	$214.16	$214.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.56 / $456.95 / $685.42	Professional		$365.56	$456.95	$685.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.11 / $183.01 / $234.91	Facility		$131.11	$183.01	$234.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $214.16 / $435.47	Professional		$156.34	$214.16	$435.47
United Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $154.24 / $158.69	Facility		$122.08	$154.24	$158.69
United Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $155.62 / $244.15	Professional		$146.49	$155.62	$244.15