Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $34.67	Professional		$15.85	$21.88	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $24.55 / $28.84	Professional		$23.99	$24.55	$28.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $44.67	Professional		$28.18	$37.15	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $66.07	Professional		$21.88	$21.88	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $70.79	Professional		$38.02	$47.86	$70.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $34.67 / $46.77	Facility		$11.48	$34.67	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $47.86	Professional		$21.88	$21.88	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $19.95 / $48.98	Facility		$13.80	$19.95	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $26.92	Professional		$16.22	$17.78	$26.92