Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.85 / $6.85 / $6.85	Facility		$6.85	$6.85	$6.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $11.93 / $32.79	Professional		$6.85	$11.93	$32.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $11.87 / $11.87	Professional		$11.87	$11.87	$11.87
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 $15.58 / $15.76 / $20.77	Professional		$15.58	$15.76	$20.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $21.12 / $21.12	Facility		$21.12	$21.12	$21.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $21.12	Professional		$15.42	$21.12	$21.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $60.00	Professional		$19.32	$19.32	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $21.12	Facility		$6.11	$6.11	$21.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.12 / $21.12	Professional		$15.42	$21.12	$21.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $8.00 / $9.61	Facility		$6.30	$8.00	$9.61
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.01 / $14.85	Professional		$7.52	$8.01	$14.85