Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $49.42 / $75.80	Professional		$33.15	$49.42	$75.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $63.51 / $63.51	Professional		$63.51	$63.51	$63.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $44.75 / $84.92	Professional		$28.08	$44.75	$84.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $57.14	Professional		$57.14	$57.14	$57.14
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 $37.32 / $59.96 / $83.00	Facility		$37.32	$59.96	$83.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $87.73 / $164.43	Professional		$57.14	$87.73	$164.43
United Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $91.01 / $131.61	Professional		$60.76	$91.01	$131.61