Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.80 / $78.97 / $78.97	Facility		$31.80	$78.97	$78.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $38.75 / $52.33	Professional		$32.34	$38.75	$52.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $204.39 / $333.05	Facility		$55.74	$204.39	$333.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $38.92 / $66.80	Professional		$23.35	$38.92	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $58.34 / $81.63	Professional		$42.69	$58.34	$81.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $58.34	Professional		$32.34	$32.34	$58.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.42 / $36.86 / $47.93	Facility		$30.42	$36.86	$47.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $60.28 / $88.99	Professional		$42.18	$60.28	$88.99
United Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $63.80 / $91.65	Professional		$51.97	$63.80	$91.65