Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $467.74	Professional		$223.87	$316.23	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $478.63	Professional		$398.11	$398.11	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $676.08	Professional		$416.87	$562.34	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $776.25	Professional		$239.88	$239.88	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,047.13	Professional		$562.34	$707.95	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $446.68 / $645.65	Facility		$169.82	$446.68	$645.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $630.96	Professional		$239.88	$239.88	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $398.11 / $724.44	Facility		$204.17	$398.11	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $398.11	Professional		$245.47	$302.00	$398.11