Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $30.21 / $30.21	Facility		$14.55	$30.21	$30.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $13.33 / $23.60	Professional		$10.53	$13.33	$23.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.40 / $50.00 / $51.88	Professional	25	$23.40	$50.00	$51.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $13.84 / $20.83	Professional		$11.08	$13.84	$20.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $12.19 / $13.44 / $20.16	Professional	25	$12.19	$13.44	$20.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $56.09 / $169.66	Facility		$20.50	$56.09	$169.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.37 / $21.27	Professional		$8.02	$13.37	$21.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $18.18 / $25.26	Professional		$12.92	$18.18	$25.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $32.34 / $32.34	Professional		$12.58	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $14.06 / $17.95	Facility		$10.68	$14.06	$17.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.51 / $31.82	Professional		$13.49	$19.51	$31.82
United Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $20.80 / $30.53	Professional		$15.52	$20.80	$30.53