Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $44.67 / $154.88	Facility		$20.42	$44.67	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $16.22	Professional		$9.55	$11.75	$16.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $8.13	Professional		$5.75	$7.08	$8.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $89.13 / $147.91	Facility		$35.48	$89.13	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $12.88	Professional		$8.32	$11.22	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.85 / $25.70	Professional		$8.51	$15.85	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.22 / $23.99	Facility		$12.02	$16.22	$23.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $20.89 / $33.88	Professional		$8.51	$20.89	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.30 / $12.30	Facility		$10.00	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $8.32	Professional		$5.75	$8.13	$8.32