Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $109.65 / $114.82	Facility		$51.29	$109.65	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $87.10	Professional		$40.74	$41.69	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $229.09 / $371.54	Facility		$89.13	$229.09	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $38.90	Professional		$25.12	$33.88	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $50.12 / $64.57	Professional		$19.50	$50.12	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $89.13	Professional		$28.84	$56.23	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $123.03	Facility		$41.69	$50.12	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $64.57	Professional		$38.90	$54.95	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $45.71	Professional		$26.30	$27.54	$45.71