Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $80.56 / $138.32	Facility		$52.66	$80.56	$138.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $79.45	Professional		$42.13	$42.13	$79.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $235.30 / $395.25	Facility		$66.15	$235.30	$395.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $34.46 / $42.13	Professional		$25.85	$34.46	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $48.40 / $60.50	Professional		$20.10	$48.40	$60.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $30.87 / $44.10	Professional		$23.17	$30.87	$44.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $42.13 / $42.13	Professional		$34.54	$42.13	$42.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $25.28	Professional		$17.69	$17.69	$25.28