Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $45.80	Facility		$27.86	$27.86	$45.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $38.26	Professional		$27.86	$28.14	$38.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $28.85 / $28.85	Professional		$28.85	$28.85	$28.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.06 / $383.75 / $625.30	Facility		$151.06	$383.75	$625.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $34.40	Professional		$28.57	$28.57	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $71.17	Facility		$27.86	$27.86	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $34.86 / $48.61	Professional		$31.70	$34.86	$48.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $27.86 / $71.17	Facility		$27.86	$27.86	$71.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $35.90	Professional		$27.86	$27.86	$35.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $29.53	Professional		$27.86	$27.86	$29.53