Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $28.93 / $44.21	Professional		$16.42	$28.93	$44.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Professional		$36.25	$36.25	$36.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $27.22 / $63.30	Professional		$14.06	$27.22	$63.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $34.52	Professional		$34.52	$34.52	$34.52
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 $18.84 / $34.68 / $47.73	Facility		$18.84	$34.68	$47.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $47.20 / $97.99	Professional		$34.52	$47.20	$97.99
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $55.59 / $77.39	Professional		$41.31	$55.59	$77.39