Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $93.33 / $204.17	Facility		$38.90	$93.33	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.30 / $47.86	Professional		$19.95	$26.30	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $17.78	Professional		$12.59	$15.49	$17.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $194.98 / $316.23	Facility		$77.62	$194.98	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $27.54	Professional		$18.20	$23.99	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $56.23	Professional		$18.62	$34.67	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $51.29	Facility		$26.30	$35.48	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $45.71 / $74.13	Professional		$18.62	$45.71	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $26.92	Facility		$21.88	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $18.20	Professional		$12.30	$17.38	$18.20