Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $14.93 / $15.20	Facility		$14.93	$14.93	$15.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $22.61 / $70.23	Professional		$15.20	$22.61	$70.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $506.48 / $850.81	Facility		$142.40	$506.48	$850.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $19.23 / $47.50	Professional		$17.07	$19.23	$47.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $38.82 / $95.52	Professional		$26.26	$38.82	$95.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $32.34 / $49.72	Professional		$29.83	$32.34	$49.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $23.10 / $64.04	Facility		$15.09	$23.10	$64.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $38.82 / $90.59	Professional		$22.84	$38.82	$90.59
United Facility/Professional Facility Modifier Low / Median / High Price $254.43 / $254.43 / $563.78	Facility		$254.43	$254.43	$563.78
United Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $63.92 / $111.83	Professional		$26.95	$63.92	$111.83