Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $97.72 / $208.93	Facility		$19.95	$97.72	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $26.92	Professional		$8.71	$10.00	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.94	Professional		$7.08	$7.08	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $144.54	Facility		$34.67	$89.13	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.96 / $12.59	Professional		$8.13	$10.96	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $33.88	Professional		$10.96	$15.14	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.22 / $30.90	Facility		$8.91	$16.22	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $25.70 / $35.48	Professional		$10.96	$25.70	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.02 / $12.02	Facility		$10.00	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $8.13	Professional		$5.62	$7.94	$8.13