Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $38.02 / $51.29	Professional		$16.98	$38.02	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $54.95	Professional		$38.02	$53.70	$54.95
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 $32.36 / $43.65 / $51.29	Professional		$32.36	$43.65	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $79.43	Professional		$26.30	$26.30	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $79.43 / $117.49	Professional		$42.66	$79.43	$117.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $39.81 / $60.26	Facility		$15.85	$39.81	$60.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $64.57	Professional		$26.30	$26.30	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.90 / $54.95	Facility		$38.02	$38.90	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $24.55 / $36.31	Professional		$21.88	$24.55	$36.31