Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $54.95 / $169.82	Facility		$10.47	$54.95	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $12.59	Professional		$6.03	$7.08	$12.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $57.54 / $93.33	Facility		$22.39	$57.54	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.08 / $8.13	Professional		$5.37	$7.08	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.00 / $16.22	Professional		$5.50	$10.00	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.47 / $15.14	Facility		$6.92	$10.47	$15.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $13.18 / $21.38	Professional		$5.50	$13.18	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $7.76	Facility		$6.46	$7.76	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.13 / $5.37	Professional		$3.63	$5.13	$5.37