Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $19.67 / $34.32	Facility		$19.67	$19.67	$34.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $26.16 / $68.00	Professional		$21.34	$26.16	$68.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $22.50 / $22.50	Professional		$22.50	$22.50	$22.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $21.78 / $43.25	Professional		$16.41	$21.78	$43.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $33.34 / $49.31	Professional		$23.82	$33.34	$49.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $24.87 / $59.21	Facility		$20.97	$24.87	$59.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $34.54 / $67.45	Professional		$25.18	$34.54	$67.45
United Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $36.71 / $49.68	Professional		$28.79	$36.71	$49.68