Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $20.23	Facility		$20.23	$20.23	$20.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.57 / $25.59	Professional		$16.14	$19.57	$25.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $23.85 / $23.85	Professional		$23.85	$23.85	$23.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.72 / $23.62	Professional		$17.71	$17.72	$23.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.00 / $33.84	Professional		$19.00	$23.00	$33.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $60.00 / $85.00	Professional		$35.79	$60.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $20.97 / $30.73	Facility		$19.00	$20.97	$30.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $23.00 / $39.47	Professional		$16.00	$23.00	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $53.04 / $82.15	Professional		$37.44	$53.04	$82.15