Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $57.54	Facility		$42.66	$48.98	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.81 / $64.57	Professional		$19.05	$39.81	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $33.11	Professional		$20.42	$23.44	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $28.84	Professional		$16.60	$19.95	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $53.70	Professional		$19.05	$36.31	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $54.95	Professional		$27.54	$36.31	$54.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $61.66	Facility		$23.44	$37.15	$61.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $54.95	Professional		$19.05	$36.31	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $54.95	Professional		$26.30	$39.81	$54.95