Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $29.82 / $29.82	Facility		$29.82	$29.82	$29.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $26.95 / $29.82	Professional		$12.05	$26.95	$29.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $205.52 / $357.11	Facility		$88.86	$205.52	$357.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $32.79 / $39.06	Professional		$24.59	$32.79	$39.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $20.95	Professional		$20.95	$20.95	$20.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $45.14 / $66.90	Professional		$41.04	$45.14	$66.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.96 / $32.31 / $35.43	Facility		$24.96	$32.31	$35.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $20.95 / $49.25	Professional		$20.95	$20.95	$49.25
United Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $17.39 / $26.21	Professional		$16.09	$17.39	$26.21