Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $691.83 / $2,511.89	Facility		$144.54	$691.83	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $52.48 / $707.95	Professional		$18.20	$52.48	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $10.00 / $10.96	Professional		$1.00	$10.00	$10.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $9.55 / $15.49	Facility		$4.37	$9.55	$15.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.19 / $0.20	Professional		$0.16	$0.19	$0.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $85.11	Facility		$0.11	$0.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.13 / $0.25	Professional		$0.12	$0.13	$0.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.13 / $2.00	Facility		$0.11	$0.13	$2.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.15	Professional		$0.11	$0.11	$0.15
United Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.12	Professional		$0.11	$0.11	$0.12