Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $256.12 / $594.79	Facility		$54.00	$256.12	$594.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $11.54 / $47.00	Professional		$4.76	$11.54	$47.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $395.56 / $703.02	Facility		$117.66	$395.56	$703.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $5.73 / $10.40	Professional		$4.30	$5.73	$10.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $25.90 / $31.03	Professional		$24.50	$25.90	$31.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $32.34 / $32.34	Professional		$8.60	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $17.37 / $23.32	Facility		$6.08	$17.37	$23.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $12.26 / $23.37	Professional		$7.00	$12.26	$23.37
United Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $15.51 / $23.93	Professional		$10.32	$15.51	$23.93