Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $17.68 / $17.68	Facility		$5.00	$17.68	$17.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.30 / $68.00	Professional		$3.00	$3.30	$68.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $141.19 / $230.07	Facility		$38.51	$141.19	$230.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $16.55 / $28.08	Professional		$11.59	$16.55	$28.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $14.89 / $18.27	Facility		$9.35	$14.89	$18.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $34.72	Professional		$34.72	$34.72	$34.72
United Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $19.39 / $42.01	Professional		$14.44	$19.39	$42.01