Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $27.15 / $33.95	Professional		$21.60	$27.15	$33.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $40.40 / $52.71	Professional		$26.07	$40.40	$52.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $23.72 / $38.07	Professional		$17.79	$23.72	$38.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
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 $22.25 / $28.56 / $119.06	Facility		$22.25	$28.56	$119.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $51.59 / $74.97	Professional		$24.70	$51.59	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $41.60 / $58.40	Professional		$31.45	$41.60	$58.40