Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.66 / $25.66 / $59.37	Facility		$25.66	$25.66	$59.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $49.95 / $72.68	Professional		$25.66	$49.95	$72.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.96 / $534.89 / $896.08	Facility		$222.96	$534.89	$896.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $41.60 / $96.47	Professional		$24.96	$41.60	$96.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $55.41 / $85.87	Professional		$35.13	$55.41	$85.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $48.54 / $84.30	Professional		$16.18	$48.54	$84.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $31.95 / $66.20 / $85.68	Facility		$31.95	$66.20	$85.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $55.41 / $97.78	Professional		$35.13	$55.41	$97.78
United Facility/Professional Facility Modifier Low / Median / High Price $775.00 / $1,327.00 / $1,327.00	Facility		$775.00	$1,327.00	$1,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $75.45 / $108.38	Professional		$60.30	$75.45	$108.38