Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.03 / $48.76 / $57.37	Facility		$43.03	$48.76	$57.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $38.42 / $57.37	Professional		$22.87	$38.42	$57.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.04 / $87.04 / $87.04	Facility		$87.04	$87.04	$87.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.92 / $23.20 / $30.80	Professional		$13.92	$23.20	$30.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $42.29 / $65.00	Professional		$25.00	$42.29	$65.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.46 / $58.80	Professional		$32.34	$53.46	$58.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $39.90 / $62.15	Facility		$27.03	$39.90	$62.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $48.00 / $70.00	Professional		$26.00	$48.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $41.18 / $62.56	Professional		$27.96	$41.18	$62.56