Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.54 / $28.72 / $51.87	Facility		$21.54	$28.72	$51.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $36.65 / $51.86	Professional		$23.62	$36.65	$51.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $47.90 / $51.77	Professional		$47.90	$47.90	$51.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $36.90 / $51.50	Professional		$29.64	$36.90	$51.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $55.94 / $84.20	Professional		$38.15	$55.94	$84.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.41 / $40.79 / $57.06	Facility		$24.41	$40.79	$57.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $53.74 / $84.20	Professional		$35.74	$53.74	$84.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $70.20 / $106.65	Professional		$53.05	$70.20	$106.65