Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $204.17	Professional		$30.90	$52.48	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $41.69	Professional		$30.90	$31.62	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $69.18	Professional		$25.12	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $114.82	Professional		$42.66	$66.07	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $104.71	Professional		$54.95	$77.62	$104.71