Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $27.69 / $31.04	Facility		$27.69	$27.69	$31.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $23.51 / $31.04	Professional		$17.45	$23.51	$31.04
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 $16.14 / $23.81 / $42.21	Professional		$16.14	$23.81	$42.21
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 $21.79 / $32.34 / $36.32	Professional		$21.79	$32.34	$36.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $26.65 / $33.46	Facility		$18.75	$26.65	$33.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $30.80 / $61.10	Professional		$20.64	$30.80	$61.10
United Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $38.47 / $59.26	Professional		$31.70	$38.47	$59.26