Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.65 / $65.34 / $76.87	Facility		$57.65	$65.34	$76.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $65.36 / $93.68	Professional		$49.00	$65.36	$93.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $63.73 / $72.05	Professional		$58.73	$63.73	$72.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.35 / $59.35 / $59.35	Facility		$59.35	$59.35	$59.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $52.48 / $68.39	Professional		$38.06	$52.48	$68.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $51.05 / $125.87	Professional		$24.00	$51.05	$125.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $104.33 / $137.72	Professional		$32.34	$104.33	$137.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $73.81 / $89.38	Facility		$56.52	$73.81	$89.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $55.84 / $118.18	Professional		$24.00	$55.84	$118.18
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $69.93 / $115.32	Professional		$42.70	$69.93	$115.32