Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $33.24 / $62.39	Facility		$33.24	$33.24	$62.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $56.64 / $114.10	Professional		$30.03	$56.64	$114.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.55 / $390.68 / $636.61	Facility		$106.55	$390.68	$636.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $53.02 / $91.41	Professional		$31.81	$53.02	$91.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $63.99 / $108.09	Professional		$38.97	$63.99	$108.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $32.34 / $90.84	Professional		$18.16	$32.34	$90.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.57 / $50.19 / $84.19	Facility		$28.57	$50.19	$84.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $70.42 / $119.26	Professional		$40.65	$70.42	$119.26
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,327.00	Facility		$230.00	$1,158.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $91.27 / $142.21	Professional		$64.08	$91.27	$142.21