Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $37.15	Professional		$12.59	$15.85	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $19.95	Professional		$12.88	$15.85	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $128.82	Facility		$15.85	$15.85	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $16.98	Professional		$11.75	$11.75	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $21.88	Professional		$14.13	$14.13	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $18.20	Facility		$12.59	$15.14	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $14.13	Professional		$13.80	$13.80	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $34.67	Professional		$16.98	$25.12	$34.67