Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $51.73 / $124.14	Facility		$41.38	$51.73	$124.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $41.38 / $50.00	Professional		$35.50	$41.38	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.07 / $227.60 / $370.87	Facility		$62.07	$227.60	$370.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $33.85 / $38.90	Professional		$25.39	$33.85	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $54.73 / $75.27	Professional		$39.07	$54.73	$75.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $55.86 / $67.45	Professional		$28.96	$55.86	$67.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $52.35 / $64.87	Professional		$43.66	$52.35	$64.87
United Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $27.71 / $46.19	Professional		$26.09	$27.71	$46.19