Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.18 / $71.18 / $98.12	Professional		$53.18	$71.18	$98.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $48.34 / $51.40	Professional		$39.29	$48.34	$51.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $52.64 / $75.14	Professional		$36.97	$52.64	$75.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.30 / $84.44 / $110.57	Professional		$56.30	$84.44	$110.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $76.54	Professional		$32.34	$32.34	$76.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.17 / $91.65 / $152.74	Professional		$60.17	$91.65	$152.74
United Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $92.96 / $137.82	Professional		$62.91	$92.96	$137.82