Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $23.54 / $47.60	Facility		$23.54	$23.54	$47.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $32.36 / $56.05	Professional		$23.54	$32.36	$56.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.47 / $496.38 / $851.26	Facility		$142.47	$496.38	$851.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $21.66 / $47.62	Professional		$5.55	$21.66	$47.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $22.42 / $22.42	Facility		$22.42	$22.42	$22.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.46 / $38.53 / $51.16	Professional		$26.46	$38.53	$51.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $32.34 / $36.74	Professional		$9.52	$32.34	$36.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $34.74 / $46.10	Facility		$24.66	$34.74	$46.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $44.86 / $70.27	Professional		$28.03	$44.86	$70.27
United Facility/Professional Facility Modifier Low / Median / High Price $235.69 / $235.69 / $235.69	Facility		$235.69	$235.69	$235.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $30.92 / $68.40	Professional		$27.41	$30.92	$68.40