Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $111.72 / $166.38	Facility		$110.50	$111.72	$166.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $36.90 / $108.27	Professional		$25.62	$36.90	$108.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $287.94 / $469.19	Facility		$78.53	$287.94	$469.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $41.10 / $61.18	Professional		$21.58	$41.10	$61.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $46.18 / $72.29	Professional		$30.53	$46.18	$72.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $32.34 / $60.51	Professional		$12.10	$32.34	$60.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.91 / $39.76 / $55.26	Facility		$27.91	$39.76	$55.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $52.21 / $80.38	Professional		$32.04	$52.21	$80.38
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $59.85 / $95.59	Professional		$41.80	$59.85	$95.59