Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $13.95 / $20.98	Professional		$7.71	$13.95	$20.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.71 / $6.93 / $10.49	Professional	52	$3.71	$6.93	$10.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $15.48 / $17.30	Professional		$15.48	$15.48	$17.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $197.48 / $350.66	Facility		$91.80	$197.48	$350.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $13.17 / $22.28	Professional		$6.49	$13.17	$22.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $32.34 / $32.34	Professional		$15.82	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $13.76 / $20.98	Facility		$8.26	$13.76	$20.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $21.60 / $47.45	Professional		$15.77	$21.60	$47.45
United Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $26.52 / $40.81	Professional		$18.97	$26.52	$40.81