Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $36.28 / $72.54	Facility		$18.14	$36.28	$72.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $29.02 / $155.47	Professional		$18.14	$29.02	$155.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $16.79 / $16.79	Professional		$16.79	$16.79	$16.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $160.19 / $260.08	Facility		$43.53	$160.19	$260.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $19.78 / $22.75	Professional		$14.84	$19.78	$22.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $15.72	Facility		$15.72	$15.72	$15.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $28.08 / $45.38	Professional		$15.27	$28.08	$45.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $29.02 / $47.31	Facility		$21.54	$29.02	$47.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $24.18 / $45.38	Professional		$24.18	$24.18	$45.38
United Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $29.65 / $41.10	Facility		$20.27	$29.65	$41.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.29 / $14.83	Professional		$10.16	$14.29	$14.83