Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $31.81 / $38.14	Facility		$12.84	$31.81	$38.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.30 / $25.50	Professional		$10.75	$13.30	$25.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $12.67 / $12.67	Professional		$12.67	$12.67	$12.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $86.86 / $154.24	Facility		$40.38	$86.86	$154.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $11.80 / $19.09	Professional		$7.23	$11.80	$19.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $19.14	Facility		$19.14	$19.14	$19.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $19.14 / $25.32	Professional		$13.68	$19.14	$25.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $32.34 / $32.34	Professional		$20.51	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $13.78 / $18.29	Facility		$11.11	$13.78	$18.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $21.89 / $31.53	Professional		$14.69	$21.89	$31.53
United Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.61 / $28.41	Professional		$14.40	$19.61	$28.41