Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $37.75 / $50.75	Facility		$31.67	$37.75	$50.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.04 / $48.59	Professional		$27.54	$36.04	$48.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.40 / $31.79 / $32.09	Professional		$31.40	$31.79	$32.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $26.54 / $33.79	Professional		$21.63	$26.54	$33.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $39.00 / $50.44	Professional		$22.00	$39.00	$50.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.07 / $55.28	Professional		$32.34	$46.07	$55.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $41.39 / $53.32	Facility		$30.63	$41.39	$53.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $39.00 / $53.92	Professional		$22.00	$39.00	$53.92
United Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $50.76 / $74.51	Professional		$31.78	$50.76	$74.51