Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $48.68 / $57.27	Facility		$28.63	$48.68	$57.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.78 / $40.93 / $57.27	Professional		$20.78	$40.93	$57.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $39.47 / $41.01	Professional		$22.31	$39.47	$41.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $27.47 / $43.30	Professional		$15.74	$27.47	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $48.00 / $63.64	Professional		$29.53	$48.00	$63.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.09 / $64.33	Professional		$32.34	$35.09	$64.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $40.81 / $64.98	Facility		$21.18	$40.81	$64.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.00 / $66.50	Professional		$30.00	$48.00	$66.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $62.51 / $91.78	Professional		$40.76	$62.51	$91.78