Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $22.24 / $40.65	Facility		$22.24	$22.24	$40.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $40.03 / $64.45	Professional		$26.82	$40.03	$64.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.84 / $571.41 / $931.11	Facility		$155.84	$571.41	$931.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $36.18 / $80.93	Professional		$21.71	$36.18	$80.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $38.70 / $66.15	Professional		$19.62	$38.70	$66.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.65 / $77.26	Professional		$32.34	$42.65	$77.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $42.80 / $81.40	Facility		$27.96	$42.80	$81.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $48.54 / $81.13	Professional		$23.80	$48.54	$81.13
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.25 / $52.69	Professional		$37.15	$45.25	$52.69