Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $25.01 / $37.60	Professional		$20.10	$25.01	$37.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.97 / $94.80 / $97.21	Professional	25	$26.97	$94.80	$97.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $26.79 / $56.16	Professional		$23.50	$26.79	$56.16
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $23.50 / $23.50 / $25.94	Professional	25	$23.50	$23.50	$25.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.75 / $98.42 / $174.75	Facility		$45.75	$98.42	$174.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $25.79 / $41.58	Professional		$15.37	$25.79	$41.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $36.54 / $49.49	Professional		$26.11	$36.54	$49.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $32.34 / $39.35	Professional		$23.61	$32.34	$39.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.68 / $28.13 / $36.57	Facility		$21.68	$28.13	$36.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $40.00 / $64.38	Professional		$27.85	$40.00	$64.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $40.18 / $57.70	Professional		$29.59	$40.18	$57.70