Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $95.05 / $95.05	Facility		$28.78	$95.05	$95.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $28.78 / $37.27	Professional		$21.32	$28.78	$37.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $65.92 / $65.92	Facility		$65.92	$65.92	$65.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $28.76 / $46.77	Professional		$17.26	$28.76	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $42.86 / $72.97	Professional		$27.06	$42.86	$72.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.27	Professional		$32.34	$32.34	$49.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $28.78 / $37.40	Facility		$21.41	$28.78	$37.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $40.02 / $63.79	Professional		$25.89	$40.02	$63.79
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $51.52 / $72.68	Professional		$35.72	$51.52	$72.68