Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $32.24 / $32.24	Facility		$32.24	$32.24	$32.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $32.24 / $113.12	Professional		$26.62	$32.24	$113.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.67 / $196.94 / $352.06	Facility		$58.67	$196.94	$352.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.24 / $32.32 / $38.51	Professional		$24.24	$32.32	$38.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.66 / $26.66 / $26.66	Facility		$26.66	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $26.66 / $31.36	Professional		$22.66	$26.66	$31.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.46 / $60.69	Professional		$32.36	$40.46	$60.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $12.15 / $30.41	Facility		$12.15	$12.15	$30.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $31.36 / $47.41	Professional		$22.66	$31.36	$47.41
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.82 / $28.34	Professional		$16.98	$18.82	$28.34