Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $29.51	Professional		$21.38	$21.88	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $125.89	Facility		$34.67	$74.13	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $26.30 / $26.30	Professional		$11.48	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.85 / $43.65	Facility		$10.00	$15.85	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $23.99	Professional		$22.91	$23.99	$23.99