Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.59 / $15.59 / $55.25	Facility		$15.59	$15.59	$55.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $18.71 / $100.24	Professional		$11.69	$18.71	$100.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $103.28 / $167.69	Facility		$28.07	$103.28	$167.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.75 / $14.65	Professional		$9.56	$12.75	$14.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $10.13 / $10.13	Facility		$10.13	$10.13	$10.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $17.76 / $29.10	Professional		$9.82	$17.76	$29.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $8.57 / $8.57	Professional		$8.57	$8.57	$8.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $18.71 / $30.48	Facility		$13.88	$18.71	$30.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $15.59 / $29.10	Professional		$15.59	$15.59	$29.10
United Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $9.27 / $9.56	Professional		$6.55	$9.27	$9.56