Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $57.54	Professional		$22.91	$46.77	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $52.48	Professional		$38.90	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $95.50	Professional		$60.26	$91.20	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $69.18	Facility		$38.90	$53.70	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $38.90	Professional		$21.38	$25.70	$38.90