Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $19.57 / $120.00	Facility		$11.59	$19.57	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $19.57 / $31.21	Professional		$11.59	$19.57	$31.21
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 $10.54 / $17.55 / $28.40	Professional		$10.54	$17.55	$28.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $28.11 / $48.00	Professional		$16.36	$28.11	$48.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $32.34 / $32.34	Professional		$5.45	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $31.27 / $53.44	Facility		$12.20	$31.27	$53.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.37 / $28.71 / $46.48	Professional		$16.37	$28.71	$46.48
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 $23.76 / $46.02 / $70.20	Professional		$23.76	$46.02	$70.20