Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $616.60	Professional		$269.15	$380.19	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $588.84	Professional		$478.63	$478.63	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $812.83	Professional		$512.86	$676.08	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $933.25	Professional		$288.40	$288.40	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,288.25	Professional		$676.08	$851.14	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $549.54 / $831.76	Facility		$204.17	$549.54	$831.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $758.58	Professional		$288.40	$288.40	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $478.63 / $870.96	Facility		$245.47	$478.63	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $478.63	Professional		$295.12	$363.08	$478.63