Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $24.92 / $24.92	Facility		$24.92	$24.92	$24.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $38.27 / $142.34	Professional		$24.92	$38.27	$142.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.69 / $247.31 / $442.21	Facility		$73.69	$247.31	$442.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.84 / $33.84 / $33.84	Facility		$33.84	$33.84	$33.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.84 / $33.84	Professional		$24.70	$33.84	$33.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $50.82 / $76.23	Professional		$40.65	$50.82	$76.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $14.54 / $38.19	Facility		$14.54	$14.54	$38.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $33.84 / $57.82	Professional		$24.70	$33.84	$57.82
United Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $22.53 / $33.94	Professional		$20.46	$22.53	$33.94