Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $55.25 / $71.84	Professional		$40.54	$55.25	$71.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $52.42 / $61.67	Professional		$10.00	$52.42	$61.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $46.97 / $86.85	Professional		$17.22	$46.97	$86.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $63.30 / $63.30	Facility		$63.30	$63.30	$63.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $77.13 / $108.19	Professional		$54.40	$77.13	$108.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $62.02 / $94.98	Professional		$50.00	$62.02	$94.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.76 / $63.30 / $88.69	Facility		$44.76	$63.30	$88.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.73 / $85.26 / $132.24	Professional		$56.73	$85.26	$132.24
United Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $90.66 / $130.19	Professional		$66.77	$90.66	$130.19