Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.45 / $31.45 / $49,157.01	Facility		$31.45	$31.45	$49,157.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $23.95 / $31.45	Professional		$12.69	$23.95	$31.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.68 / $218.20 / $376.51	Facility		$93.68	$218.20	$376.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.93 / $34.57 / $41.19	Professional		$25.93	$34.57	$41.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $22.09	Professional		$22.09	$22.09	$22.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $49.76 / $70.53	Professional		$43.27	$49.76	$70.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $34.06 / $37.35	Facility		$26.32	$34.06	$37.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $22.09 / $61.01	Professional		$22.09	$22.09	$61.01
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00