Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $51.33 / $74.30	Facility		$19.00	$51.33	$74.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $23.53 / $51.30	Professional		$20.00	$23.53	$51.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.30 / $178.90 / $300.51	Facility		$50.30	$178.90	$300.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $26.36 / $26.36	Professional		$19.77	$26.36	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Facility		$22.10	$22.10	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $34.14 / $34.14	Professional		$34.14	$34.14	$34.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $22.10 / $22.10	Facility		$19.73	$22.10	$22.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $23.53 / $26.82	Professional		$23.53	$23.53	$26.82