Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $100.00	Professional		$28.18	$38.90	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.84 / $45.71	Professional		$23.44	$28.84	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $60.26	Professional		$21.88	$36.31	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $85.11	Professional		$29.51	$56.23	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $112.20	Professional		$27.54	$37.15	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $33.11	Professional		$23.99	$26.30	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $85.11	Professional		$29.51	$47.86	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $85.11	Professional		$28.18	$57.54	$85.11