Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.89 / $131.83	Facility		$20.42	$20.89	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $70.79	Professional		$12.88	$17.78	$70.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.49	Professional		$13.49	$13.49	$15.49
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 $9.77 / $12.88 / $17.78	Professional		$9.77	$12.88	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Professional		$15.14	$20.89	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $33.11	Professional		$21.88	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.89 / $37.15	Facility		$13.49	$20.89	$37.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $30.20	Professional		$15.14	$20.89	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $27.54	Professional		$15.14	$21.38	$27.54