Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $26.33 / $24,120.07	Facility		$26.33	$26.33	$24,120.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.19 / $23.37	Professional		$17.02	$17.19	$23.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $56.21 / $91.60	Facility		$22.13	$56.21	$91.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $14.43 / $21.91	Professional		$14.43	$14.43	$21.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.02 / $85.00	Facility		$17.02	$17.02	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $17.02	Professional		$17.02	$17.02	$17.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $24.29 / $34.71	Professional		$23.14	$24.29	$34.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $17.02 / $21.61	Facility		$16.82	$17.02	$21.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $20.23	Professional		$17.02	$17.02	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $17.02 / $18.04	Professional		$17.02	$17.02	$18.04