Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $16.07 / $42.00	Professional		$11.91	$16.07	$42.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.97 / $115.37	Facility		$30.20	$64.97	$115.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $14.06 / $22.20	Professional		$11.10	$14.06	$22.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.71 / $17.71 / $17.71	Facility		$17.71	$17.71	$17.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $13.99 / $13.99	Professional		$13.99	$13.99	$13.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $32.34 / $32.34	Professional		$17.98	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $17.71 / $24.50	Facility		$11.63	$17.71	$24.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $18.29 / $41.33	Professional		$13.99	$18.29	$41.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $22.44 / $32.39	Professional		$16.28	$22.44	$32.39