Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $28.07 / $31.04	Facility		$28.07	$28.07	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $23.44 / $31.03	Professional		$17.70	$23.44	$31.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $22.79 / $43.13	Professional		$13.67	$22.79	$43.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $29.16 / $41.91	Professional		$19.64	$29.16	$41.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $32.34 / $32.34	Professional		$18.28	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $26.65 / $33.46	Facility		$18.97	$26.65	$33.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $31.26 / $62.00	Professional		$20.94	$31.26	$62.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $37.74 / $59.26	Professional		$31.39	$37.74	$59.26