Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $62.57 / $88.38	Facility		$49.44	$62.57	$88.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $46.92 / $75.51	Professional		$32.29	$46.92	$75.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.71 / $55.52 / $67.55	Professional	25	$42.71	$55.52	$67.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.55 / $295.36 / $481.29	Facility		$80.55	$295.36	$481.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $49.88 / $77.84	Professional		$23.03	$49.88	$77.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $55.85 / $90.75	Professional		$35.47	$55.85	$90.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.56 / $98.19	Professional		$32.34	$53.56	$98.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $46.96 / $58.41	Facility		$37.93	$46.96	$58.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $55.85 / $75.93	Professional		$31.91	$55.85	$75.93
United Facility/Professional Professional Modifier Low / Median / High Price $51.60 / $61.20 / $83.23	Professional		$51.60	$61.20	$83.23