Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $109.65	Professional		$19.95	$28.18	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.42 / $23.99	Professional		$18.20	$20.42	$23.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.62 / $24.55	Professional		$14.13	$18.62	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $44.67	Professional		$16.60	$29.51	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $42.66	Professional		$26.30	$31.62	$42.66