Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.97 / $61.00 / $105.99	Facility		$43.97	$61.00	$105.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $45.22 / $52.01	Professional		$45.22	$45.22	$52.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $188.50 / $307.42	Facility		$51.23	$188.50	$307.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $28.90 / $35.33	Professional		$21.68	$28.90	$35.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $40.60 / $50.75	Professional		$16.82	$40.60	$50.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $35.33 / $60.00	Professional		$19.43	$35.33	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $45.23	Facility		$35.33	$35.33	$45.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $37.09	Professional		$35.33	$35.33	$37.09
United Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $45.37 / $45.37	Facility		$45.37	$45.37	$45.37
United Facility/Professional Professional Modifier Low / Median / High Price $17.84 / $18.95 / $27.07	Professional		$17.84	$18.95	$27.07