Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $25.37 / $35.75	Professional		$17.57	$25.37	$35.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $13.69 / $22.24	Professional		$4.01	$13.69	$22.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $28.70 / $39.32	Professional		$15.50	$28.70	$39.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $25.26 / $36.99	Professional		$16.44	$25.26	$36.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $25.03 / $71.05	Facility		$18.55	$25.03	$71.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $28.70 / $39.32	Professional		$15.52	$28.70	$39.32
United Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $32.19 / $42.94	Professional		$23.15	$32.19	$42.94