Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $40.77 / $92.23	Facility		$29.84	$40.77	$92.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $51.94 / $92.93	Professional		$30.30	$51.94	$92.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.33 / $91.58 / $136.00	Professional	25	$37.33	$91.58	$136.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.86 / $380.10 / $638.49	Facility		$106.86	$380.10	$638.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $47.59 / $70.27	Professional		$35.74	$47.59	$70.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $55.41 / $72.43	Professional		$35.13	$55.41	$72.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $5,083.00	Professional		$32.34	$32.34	$5,083.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.29 / $49.01 / $92.23	Facility		$32.29	$49.01	$92.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $61.29 / $108.08	Professional		$43.26	$61.29	$108.08
United Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $55.50 / $78.12	Professional		$42.30	$55.50	$78.12