Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $165.96	Facility		$40.74	$72.44	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $40.74 / $165.96	Professional		$25.70	$40.74	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $288.40 / $467.74	Facility		$112.20	$288.40	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $60.26	Professional		$35.48	$45.71	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $112.20	Professional		$30.20	$45.71	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $69.18	Facility		$28.84	$43.65	$69.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $81.28	Professional		$31.62	$47.86	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $72.44	Professional		$32.36	$47.86	$72.44