Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $3.04 / $99.54	Facility		$3.04	$3.04	$99.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.31 / $8.44	Professional		$2.29	$2.31	$8.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
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 $1.69 / $1.69 / $3.10	Professional		$1.69	$1.69	$3.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $85.00	Facility		$2.29	$2.29	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Professional		$2.29	$2.29	$2.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.66 / $6.06 / $9.09	Professional		$4.66	$6.06	$9.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.84 / $2.52 / $14.73	Facility		$1.84	$2.52	$14.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $3.36	Professional		$2.29	$2.29	$3.36
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $2.43	Professional		$2.29	$2.29	$2.43