Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $128.82	Facility		$22.39	$22.91	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $21.88 / $89.13	Professional		$12.59	$21.88	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $14.79	Professional		$10.96	$12.88	$14.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.18 / $20.89	Professional		$10.00	$13.18	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $37.15	Professional		$15.85	$25.12	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $33.11	Professional		$23.99	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.92 / $45.71	Facility		$14.79	$26.92	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $35.48	Professional		$15.85	$23.99	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $38.02	Professional		$17.38	$27.54	$38.02