Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $65.23 / $65.23	Facility		$65.23	$65.23	$65.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.57 / $57.89	Professional		$42.16	$42.57	$57.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.24 / $160.66 / $261.79	Facility		$63.24	$160.66	$261.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $66.64	Professional		$36.25	$36.25	$66.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.16 / $42.16 / $85.00	Facility		$42.16	$42.16	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $42.16	Professional		$42.16	$42.16	$42.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $47.88 / $67.01	Professional		$43.53	$47.88	$67.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $42.16 / $53.54	Facility		$41.34	$42.16	$53.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $51.21	Professional		$42.16	$42.16	$51.21
United Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $67.83	Facility		$41.11	$41.11	$67.83
United Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $42.16 / $44.69	Professional		$42.16	$42.16	$44.69