Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $18.20 / $25.12	Facility		$17.38	$18.20	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $28.18	Professional		$10.00	$12.88	$28.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $16.60	Professional		$11.48	$14.13	$16.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $26.92	Professional		$12.02	$14.79	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $33.88	Professional		$14.13	$19.50	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.13 / $25.12	Facility		$10.47	$14.13	$25.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $37.15	Professional		$14.79	$21.88	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $29.51	Professional		$13.49	$20.42	$29.51