Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $10.88 / $10.88	Facility		$8.52	$10.88	$10.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.79 / $9.77	Professional		$6.73	$6.79	$9.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.95 / $507.94 / $827.69	Facility		$199.95	$507.94	$827.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.09 / $12.45	Professional		$10.11	$12.09	$12.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $85.00	Facility		$6.73	$6.73	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.19 / $26.58	Professional		$11.25	$15.19	$26.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $63.29 / $99.88	Facility		$6.73	$63.29	$99.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $10.45	Professional		$6.73	$6.73	$10.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.13	Professional		$6.73	$6.73	$7.13