Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $97.72	Professional		$52.48	$67.61	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $120.23	Professional		$51.29	$67.61	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $194.98	Professional		$58.88	$58.88	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $128.82	Professional		$70.79	$102.33	$128.82