Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $20.27 / $34.36	Facility		$20.27	$20.27	$34.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.68 / $108.43	Professional		$24.55	$36.68	$108.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $514.57 / $882.45	Facility		$147.69	$514.57	$882.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $30.05 / $51.34	Professional		$20.14	$30.05	$51.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $35.29 / $61.14	Professional		$17.88	$35.29	$61.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.09 / $65.04	Professional		$32.34	$36.09	$65.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.44 / $39.59 / $67.56	Facility		$25.44	$39.59	$67.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $40.74 / $76.25	Professional		$20.13	$40.74	$76.25
United Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $42.53 / $50.47	Professional		$34.61	$42.53	$50.47