Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $212.93	Facility		$4.24	$4.24	$212.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.04 / $5.61	Professional		$3.02	$3.04	$5.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.15	Professional		$3.02	$3.02	$3.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,799.99 / $68,899.99 / $81,099.99	Facility		$56,799.99	$68,899.99	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $2.46 / $3.53	Professional		$2.46	$2.46	$3.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $85.00	Facility		$3.02	$3.02	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.92 / $5.13 / $7.38	Professional		$4.92	$5.13	$7.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.05 / $9.41	Facility		$3.02	$4.05	$9.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.15	Professional		$3.02	$3.02	$4.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.20	Professional		$3.02	$3.02	$3.20