Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $48.76 / $57.37	Facility		$43.03	$48.76	$57.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $34.85 / $56.87	Professional		$18.44	$34.85	$56.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.69 / $31.14	Professional		$17.78	$22.69	$31.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.04 / $87.04 / $87.04	Facility		$87.04	$87.04	$87.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $20.16 / $29.10	Professional		$16.52	$20.16	$29.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $36.00 / $55.00	Professional		$19.00	$36.00	$55.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $40.08 / $54.64	Professional		$24.05	$40.08	$54.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.89 / $33.04 / $57.37	Facility		$23.89	$33.04	$57.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $32.00 / $55.00	Professional		$19.00	$32.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.48 / $40.00 / $56.89	Professional		$26.48	$40.00	$56.89