Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $38.02	Facility		$15.85	$20.42	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $29.51	Professional		$10.00	$12.88	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $13.49	Professional		$8.91	$11.48	$13.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $100.00 / $162.18	Facility		$58.88	$100.00	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.72 / $15.85	Professional		$8.13	$10.72	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $30.90	Professional		$12.88	$17.78	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $32.36 / $33.11	Professional		$18.62	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.85 / $26.30	Facility		$10.96	$15.85	$26.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $32.36	Professional		$13.49	$20.42	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.20 / $26.92	Professional		$12.30	$18.20	$26.92