Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $141.25	Professional		$38.90	$72.44	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $8.91 / $91.20 / $186.21	Professional	25	$8.91	$91.20	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $81.28	Professional		$66.07	$66.07	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $58.88 / $87.10	Professional		$31.62	$58.88	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $128.82	Professional		$42.66	$75.86	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $141.25	Professional		$32.36	$70.79	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $72.44 / $114.82	Facility		$45.71	$72.44	$114.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $117.49	Professional		$42.66	$72.44	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $120.23	Professional		$44.67	$69.18	$120.23