Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $28.84 / $66.07	Facility		$15.49	$28.84	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $102.33 / $165.96	Facility		$40.74	$102.33	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $14.79	Professional		$9.55	$12.88	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $28.84	Professional		$9.77	$17.78	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $30.20	Facility		$13.80	$19.95	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.99 / $38.90	Professional		$9.77	$23.99	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $14.13 / $14.13	Facility		$11.48	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $9.55	Professional		$6.61	$9.12	$9.55