Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $100.00	Facility		$45.71	$45.71	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $53.70	Professional		$16.98	$25.12	$53.70
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $147.91 / $245.47	Facility		$58.88	$147.91	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $38.02	Professional		$22.39	$29.51	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $89.13	Facility		$64.57	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $47.86	Professional		$22.39	$32.36	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $70.79	Facility		$20.42	$30.90	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $47.86	Professional		$20.42	$33.11	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $38.02	Professional		$26.92	$30.90	$38.02