Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $54.95	Professional		$15.85	$21.88	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $18.20	Professional		$15.85	$15.85	$18.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $17.38 / $22.91	Professional		$6.76	$17.38	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $29.51 / $38.90	Professional		$15.49	$29.51	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $50.12	Professional		$16.60	$25.12	$50.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $24.55 / $46.77	Facility		$16.60	$24.55	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $27.54 / $38.90	Professional		$15.49	$27.54	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $27.54 / $42.66	Professional		$16.98	$27.54	$42.66