Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $83.18 / $199.53	Facility		$33.88	$83.18	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $45.71	Professional		$19.50	$25.12	$45.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $14.79	Professional		$11.75	$14.13	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $186.21 / $302.00	Facility		$72.44	$186.21	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $26.30	Professional		$16.98	$22.91	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $52.48	Professional		$17.78	$31.62	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $48.98	Facility		$25.12	$33.88	$48.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $42.66 / $69.18	Professional		$17.78	$42.66	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $25.12	Facility		$20.42	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $16.98	Professional		$11.75	$16.60	$16.98