Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $56.54 / $135.84	Facility		$45.23	$56.54	$135.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.22 / $45.23	Professional		$45.22	$45.22	$45.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $252.90 / $424.82	Facility		$71.09	$252.90	$424.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $37.04 / $45.28	Professional		$27.78	$37.04	$45.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $52.04 / $65.05	Professional		$21.50	$52.04	$65.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $33.18 / $47.40	Professional		$24.90	$33.18	$47.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.23 / $45.23 / $45.23	Facility		$45.23	$45.23	$45.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $45.28 / $45.28	Professional		$37.09	$45.28	$45.28
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $45.23	Professional		$27.14	$27.14	$45.23