Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $346.74	Professional		$131.83	$194.98	$346.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $331.13	Professional		$218.78	$288.40	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $602.56	Professional		$194.98	$194.98	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $549.54	Professional		$288.40	$363.08	$549.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $269.15 / $380.19	Facility		$100.00	$269.15	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $436.52	Professional		$194.98	$194.98	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $229.09 / $416.87	Facility		$117.49	$229.09	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $229.09	Professional		$141.25	$177.83	$229.09