Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $53.70 / $131.83	Facility		$26.92	$53.70	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $26.92	Professional		$15.49	$19.50	$26.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.22	Professional		$9.33	$9.33	$11.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $147.91 / $239.88	Facility		$57.54	$147.91	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $20.89	Professional		$13.49	$18.20	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $41.69	Professional		$14.13	$25.70	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $24.55 / $38.90	Facility		$19.95	$24.55	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.88 / $54.95	Professional		$14.13	$33.88	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $19.95	Facility		$16.60	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $13.49	Professional		$9.33	$13.18	$13.49