Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $86.84 / $203.68	Facility		$41.04	$86.84	$203.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $19.39 / $22.07	Professional		$14.52	$19.39	$22.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.07 / $11.18 / $11.65	Professional		$10.07	$11.18	$11.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $111.06 / $180.33	Facility		$30.18	$111.06	$180.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $13.72 / $15.78	Professional		$10.29	$13.72	$15.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.90 / $10.90 / $10.90	Facility		$10.90	$10.90	$10.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $31.57	Professional		$10.60	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Professional		$9.22	$9.22	$9.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.94 / $20.12 / $32.82	Facility		$14.94	$20.12	$32.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.77 / $16.77 / $31.57	Professional		$16.77	$16.77	$31.57
United Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $12.39 / $12.39	Facility		$11.24	$12.39	$12.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.06 / $10.29	Professional		$7.04	$10.06	$10.29