Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $23.76 / $26.72	Facility		$23.76	$23.76	$26.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.23 / $26.72	Professional		$17.80	$21.23	$26.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Professional		$22.98	$22.98	$22.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.89 / $34.65	Professional		$12.59	$18.89	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $26.37 / $42.27	Professional		$16.00	$26.37	$42.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $37.28	Professional		$32.34	$32.34	$37.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $22.25 / $27.52	Facility		$17.20	$22.25	$27.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $25.83 / $40.40	Professional		$16.00	$25.83	$40.40
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $26.38 / $52.15	Professional		$16.84	$26.38	$52.15