Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.51 / $17.51 / $17.51	Facility		$17.51	$17.51	$17.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $26.88 / $137.34	Professional		$17.51	$26.88	$137.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $243.64 / $455.18	Facility		$75.84	$243.64	$455.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $28.52 / $33.97	Professional		$21.39	$28.52	$33.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $23.10	Professional		$16.86	$23.10	$23.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $52.31 / $78.46	Professional		$41.84	$52.31	$78.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $11.50 / $26.83	Facility		$11.50	$11.50	$26.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $23.10 / $41.84	Professional		$16.86	$23.10	$41.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $17.80 / $26.83	Professional		$16.17	$17.80	$26.83