Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $67.61	Facility		$38.90	$60.26	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $52.48	Professional		$25.70	$36.31	$52.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $69,183.10 / $81,283.05	Facility		$56,234.13	$69,183.10	$81,283.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $53.70	Professional		$37.15	$38.90	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $144.54	Professional		$75.86	$81.28	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $46.77 / $51.29	Facility		$43.65	$46.77	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $81.28	Professional		$33.11	$57.54	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $56.23 / $74.13	Professional		$38.90	$56.23	$74.13