Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.95 / $13.95 / $30.48	Facility		$13.95	$13.95	$30.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $30.48 / $43.54	Professional		$13.95	$30.48	$43.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.40 / $506.48 / $850.81	Facility		$142.40	$506.48	$850.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $27.14 / $50.82	Professional		$13.15	$27.14	$50.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $34.04 / $65.84	Professional		$20.92	$34.04	$65.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $59.12	Professional		$32.34	$32.34	$59.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $28.78 / $38.31	Facility		$16.23	$28.78	$38.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $37.11 / $68.83	Professional		$20.92	$37.11	$68.83
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $49.50 / $78.20	Professional		$35.72	$49.50	$78.20