Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $79.43 / $165.96	Facility		$22.39	$79.43	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $33.88	Professional		$12.88	$16.60	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.33 / $9.77	Professional		$7.94	$9.33	$9.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $123.03 / $199.53	Facility		$47.86	$123.03	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.14 / $17.38	Professional		$11.48	$15.14	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.89 / $34.67	Professional		$11.75	$20.89	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $32.36	Facility		$16.60	$21.88	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $28.18 / $45.71	Professional		$11.75	$28.18	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $16.60	Facility		$13.80	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $11.48	Professional		$7.76	$10.96	$11.48