Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.12 / $33.88	Professional		$11.75	$25.12	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $37.15	Professional		$31.62	$36.31	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $34.67	Professional		$21.88	$28.84	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $53.70	Professional		$17.78	$17.78	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $60.26	Professional		$28.84	$36.31	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $27.54 / $40.74	Facility		$10.47	$27.54	$40.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $43.65	Professional		$17.78	$17.78	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $37.15	Facility		$25.70	$25.70	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.22 / $24.55	Professional		$14.79	$16.22	$24.55