Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $26.82 / $36.52	Professional		$19.57	$26.82	$36.52
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $10.75 / $13.41 / $18.26	Professional	52	$10.75	$13.41	$18.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $25.41 / $25.41	Professional		$25.41	$25.41	$25.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $19.17 / $30.04	Professional		$14.27	$19.17	$30.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $30.17 / $42.77	Professional		$18.93	$30.17	$42.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $34.53 / $40.72	Professional		$23.02	$34.53	$40.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $27.76 / $39.47	Facility		$20.82	$27.76	$39.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $30.60 / $42.77	Professional		$19.00	$30.60	$42.77
United Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $32.76 / $46.80	Professional		$23.93	$32.76	$46.80