Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $186.25 / $186.25	Facility		$25.33	$186.25	$186.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $32.17 / $957.06	Professional		$25.33	$32.17	$957.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $1,621.99 / $2,724.60	Facility		$456.00	$1,621.99	$2,724.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Facility		$25.33	$25.33	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.62 / $309.62 / $309.62	Professional		$309.62	$309.62	$309.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $296.66	Facility		$25.33	$25.33	$296.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33