Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $31.62	Professional		$15.14	$19.05	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $660.69 / $1,096.48	Facility		$302.00	$660.69	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $24.55	Professional		$13.49	$17.78	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.30 / $33.88	Professional		$19.50	$26.30	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.88 / $36.31	Facility		$17.38	$21.88	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $44.67	Professional		$19.95	$28.18	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $575.44	Facility		$263.03	$575.44	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $39.81	Professional		$19.50	$28.18	$39.81