Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $19.88 / $30.64	Facility		$19.88	$19.88	$30.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $34.11 / $55.52	Professional		$19.88	$34.11	$55.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $288.97 / $469.19	Facility		$78.53	$288.97	$469.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $27.08 / $51.39	Professional		$16.25	$27.08	$51.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $55.18 / $84.26	Professional		$28.96	$55.18	$84.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $32.34 / $40.95	Professional		$8.19	$32.34	$40.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.22 / $39.20 / $71.15	Facility		$19.22	$39.20	$71.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $55.18 / $78.31	Professional		$28.96	$55.18	$78.31
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 $38.79 / $59.68 / $87.61	Professional		$38.79	$59.68	$87.61