Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $43.65 / $74.13	Facility		$4.90	$43.65	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.31 / $18.20	Professional		$2.00	$3.31	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.62 / $1.74	Professional		$1.38	$1.62	$1.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.38 / $35.48	Facility		$8.51	$21.38	$35.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $3.09	Professional		$2.00	$2.69	$3.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $2.14	Facility		$2.14	$2.14	$2.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $3.72 / $4.68	Professional		$1.41	$3.72	$4.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.24 / $4.07	Facility		$2.14	$3.24	$4.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $3.72 / $6.03	Professional		$1.41	$3.72	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.95 / $2.95	Facility		$1.74	$2.95	$2.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $3.24	Professional		$1.95	$1.95	$3.24