Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $194.98 / $363.08	Professional		$141.25	$194.98	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $251.19	Professional		$245.47	$245.47	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $389.05	Professional		$263.03	$346.74	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $478.63	Professional		$147.91	$147.91	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $645.65	Professional		$346.74	$436.52	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $316.23 / $426.58	Facility		$104.71	$316.23	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $426.58	Professional		$147.91	$147.91	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $245.47 / $446.68	Facility		$125.89	$245.47	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $245.47	Professional		$151.36	$186.21	$245.47