Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.87 / $24.87 / $24.87	Facility		$24.87	$24.87	$24.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $24.87 / $57.88	Professional		$15.84	$24.87	$57.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $159.56 / $300.00	Facility		$43.52	$159.56	$300.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $27.85 / $33.86	Professional		$23.81	$27.85	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $70.00 / $80.00	Facility		$65.00	$70.00	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $35.10 / $52.06	Professional		$24.42	$35.10	$52.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $70.00	Professional		$32.34	$32.34	$70.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.13 / $35.10 / $70.00	Facility		$27.13	$35.10	$70.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $35.10 / $52.06	Professional		$24.42	$35.10	$52.06
United Facility/Professional Professional Modifier Low / Median / High Price $28.85 / $33.42 / $37.65	Professional		$28.85	$33.42	$37.65