Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $44.79	Facility		$32.32	$32.32	$44.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.08 / $72.14 / $125.68	Professional		$36.08	$72.14	$125.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.77 / $593.20 / $966.61	Facility		$161.77	$593.20	$966.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.75 / $137.52	Professional		$28.84	$52.75	$137.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $118.68 / $174.42	Professional		$70.73	$118.68	$174.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.24	Professional		$32.34	$32.34	$86.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.70 / $83.87 / $137.10	Facility		$37.70	$83.87	$137.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $111.03 / $166.12	Professional		$68.81	$111.03	$166.12
United Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $134.40 / $252.01	Professional		$79.39	$134.40	$252.01