Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $28.18	Professional		$15.85	$19.05	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $37.15	Professional		$19.95	$28.84	$37.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $41.69	Professional		$30.90	$30.90	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $81.28	Professional		$20.89	$25.12	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $112.20	Professional		$44.67	$60.26	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.42 / $41.69	Facility		$17.78	$20.42	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $60.26	Professional		$23.99	$28.18	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $72.44 / $104.71	Professional		$52.48	$72.44	$104.71