Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $122.40 / $513.12	Facility		$55.00	$122.40	$513.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $25.81 / $84.00	Professional		$12.56	$25.81	$84.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $136.96 / $230.07	Facility		$38.51	$136.96	$230.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.50 / $23.65	Professional		$10.02	$14.50	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $52.25 / $52.25	Professional		$52.25	$52.25	$52.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $26.14 / $26.14	Professional		$26.14	$26.14	$26.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $22.27	Facility		$6.00	$6.00	$22.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $52.25 / $52.25	Professional		$52.25	$52.25	$52.25
United Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $140.47 / $311.30	Facility		$140.47	$140.47	$311.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $29.58 / $40.79	Professional		$20.30	$29.58	$40.79