Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $127.20 / $165.02	Facility		$28.10	$127.20	$165.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $28.10 / $49.63	Professional		$14.60	$28.10	$49.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.02 / $93.52 / $156.80	Facility		$39.02	$93.52	$156.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $29.90 / $55.64	Professional		$17.85	$29.90	$55.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $28.79 / $51.40	Professional		$17.80	$28.79	$51.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $32.34 / $38.28	Professional		$4.59	$32.34	$38.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $27.73 / $46.18	Facility		$10.62	$27.73	$46.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $26.30 / $50.19	Professional		$12.50	$26.30	$50.19
United Facility/Professional Facility Modifier Low / Median / High Price $254.43 / $1,327.00 / $1,327.00	Facility		$254.43	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $46.06 / $69.67	Professional		$31.04	$46.06	$69.67