Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $87.00 / $174.00	Facility		$43.50	$87.00	$174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $69.59 / $372.94	Professional		$43.50	$69.59	$372.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $320.16 / $519.83	Facility		$87.00	$320.16	$519.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $66.48 / $83.12	Professional		$66.48	$66.48	$83.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $31.90 / $31.90	Professional		$31.90	$31.90	$31.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $63.80 / $100.82	Facility		$41.21	$63.80	$100.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $58.00 / $149.51	Professional		$58.00	$58.00	$149.51
United Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $34.50 / $35.56	Professional		$24.36	$34.50	$35.56