Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $64.57 / $107.15	Facility		$26.30	$64.57	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $25.70	Professional		$15.14	$19.50	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $11.48	Professional		$9.33	$10.96	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $144.54 / $234.42	Facility		$56.23	$144.54	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $20.42	Professional		$13.49	$17.78	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $40.74	Professional		$13.80	$24.55	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $38.02	Facility		$19.50	$23.99	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.11 / $53.70	Professional		$13.80	$33.11	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $19.50	Facility		$16.22	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $13.18	Professional		$9.12	$12.88	$13.18