Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $30.90	Facility		$28.18	$28.18	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $30.90	Professional		$16.98	$22.91	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $41.69	Professional		$23.44	$28.18	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $43.65	Professional		$16.22	$22.91	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $29.51 / $41.69	Professional		$28.84	$29.51	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.70 / $38.90	Facility		$18.62	$25.70	$38.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $60.26	Professional		$20.89	$27.54	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $52.48	Professional		$26.92	$36.31	$52.48