Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $45.25 / $90.51	Facility		$22.63	$45.25	$90.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $36.20 / $193.99	Professional		$22.63	$36.20	$193.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $166.54 / $270.39	Facility		$45.26	$166.54	$270.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.69 / $34.69 / $43.37	Professional		$34.69	$34.69	$43.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.81 / $38.29 / $54.49	Facility		$24.81	$38.29	$54.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $71.81	Professional		$30.17	$30.17	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $16.57 / $18.10	Professional		$12.67	$16.57	$18.10