Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $43.30 / $50.94	Facility		$22.12	$43.30	$50.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $37.90 / $53.48	Professional		$16.19	$37.90	$53.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $37.27 / $37.78	Professional		$14.47	$37.27	$37.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.27 / $76.27 / $76.27	Facility		$76.27	$76.27	$76.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $24.71 / $39.83	Professional		$12.91	$24.71	$39.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.00 / $58.32	Professional		$26.00	$45.00	$58.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $32.34 / $57.86	Professional		$31.56	$32.34	$57.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $37.03 / $59.78	Facility		$16.37	$37.03	$59.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.00 / $61.17	Professional		$26.00	$45.00	$61.17
United Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $58.56 / $85.86	Professional		$37.43	$58.56	$85.86