Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $45.71	Facility		$23.99	$25.12	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $57.54	Professional		$16.98	$28.84	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $302.00 / $467.74	Facility		$131.83	$302.00	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $44.67	Professional		$21.38	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $58.88 / $91.20	Professional		$21.88	$58.88	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $87.10	Facility		$19.50	$47.86	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $50.12 / $83.18	Professional		$21.88	$50.12	$83.18
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 $25.70 / $54.95 / $91.20	Professional		$25.70	$54.95	$91.20