Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $309.03	Professional		$141.25	$199.53	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $302.00	Professional		$251.19	$257.04	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $426.58	Professional		$269.15	$354.81	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $524.81	Professional		$151.36	$151.36	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $977.24	Professional		$524.81	$645.65	$977.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $302.00 / $407.38	Facility		$107.15	$302.00	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $426.58	Professional		$151.36	$151.36	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $457.09	Facility		$128.82	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $251.19	Professional		$154.88	$190.55	$251.19