Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $54.95 / $56.23	Facility		$25.70	$54.95	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $47.86	Professional		$10.96	$15.14	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $117.49 / $181.97	Facility		$51.29	$117.49	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.80 / $15.85	Professional		$9.12	$13.80	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.95 / $31.62	Professional		$10.72	$19.95	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.38 / $30.20	Facility		$14.79	$21.38	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $25.70 / $41.69	Professional		$10.72	$25.70	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $15.14	Facility		$12.30	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $10.23	Professional		$7.08	$10.00	$10.23