Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $31.25	Facility		$19.11	$19.11	$31.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $36.88 / $74.70	Professional		$19.11	$36.88	$74.70
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 $15.96 / $26.60 / $53.49	Professional		$15.96	$26.60	$53.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $61.99 / $91.64	Professional		$29.04	$61.99	$91.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $32.34 / $41.71	Professional		$8.34	$32.34	$41.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $44.06 / $83.56	Facility		$19.32	$44.06	$83.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $60.44 / $86.25	Professional		$29.04	$60.44	$86.25
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 $39.60 / $66.70 / $100.06	Professional		$39.60	$66.70	$100.06