Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $22.58 / $45.15	Facility		$11.29	$22.58	$45.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $18.05 / $96.77	Professional		$11.29	$18.05	$96.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $10.46 / $10.46	Professional		$10.46	$10.46	$10.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $99.69 / $161.86	Facility		$27.09	$99.69	$161.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $12.31 / $14.16	Professional		$9.23	$12.31	$14.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $17.35 / $28.12	Professional		$9.51	$17.35	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Professional		$8.27	$8.27	$8.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $18.05 / $29.44	Facility		$13.41	$18.05	$29.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $15.05 / $28.12	Professional		$15.05	$15.05	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.71 / $15.05	Professional		$9.02	$12.71	$15.05