Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $50.75 / $401.30	Facility		$38.06	$50.75	$401.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $35.97 / $48.59	Professional		$27.46	$35.97	$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 Facility Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Facility		$68.73	$68.73	$68.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $27.32 / $33.83	Professional		$22.26	$27.32	$33.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $39.00 / $53.92	Professional		$23.00	$39.00	$53.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.40 / $52.14	Professional		$32.34	$47.40	$52.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.63 / $41.41 / $53.32	Facility		$30.63	$41.41	$53.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $39.00 / $54.48	Professional		$24.00	$39.00	$54.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.76 / $74.51	Professional		$32.34	$50.76	$74.51