Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $616.60 / $1,288.25	Facility		$19.95	$616.60	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $33.11	Professional		$10.96	$14.79	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $109.65 / $177.83	Facility		$43.65	$109.65	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.49 / $15.85	Professional		$10.23	$13.49	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.50 / $31.62	Professional		$10.47	$19.50	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.95 / $28.84	Facility		$14.79	$19.95	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $25.70 / $41.69	Professional		$10.47	$25.70	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.14 / $15.14	Facility		$12.30	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $10.23	Professional		$7.08	$9.77	$10.23