Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $93.33 / $100.00	Facility		$6.03	$93.33	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.57 / $12.59	Professional		$3.72	$4.57	$12.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Professional		$2.63	$2.63	$2.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $53.70	Facility		$12.88	$33.11	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.07 / $4.68	Professional		$3.09	$4.07	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.75 / $9.33	Professional		$3.09	$5.75	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.03 / $8.71	Facility		$4.47	$6.03	$8.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $7.76 / $12.59	Professional		$3.09	$7.76	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $4.47 / $4.47	Facility		$3.72	$4.47	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.95 / $3.09	Professional		$2.09	$2.95	$3.09