Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $24.83 / $24.83	Facility		$24.83	$24.83	$24.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $33.90 / $168.57	Professional		$24.83	$33.90	$168.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $219.17 / $391.74	Facility		$65.28	$219.17	$391.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $35.96 / $42.85	Professional		$26.97	$35.96	$42.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $35.00	Professional		$25.55	$35.00	$35.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $45.02 / $67.53	Professional		$36.01	$45.02	$67.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $35.00	Facility		$14.11	$14.11	$35.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $52.75	Professional		$25.55	$35.00	$52.75
United Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $21.86 / $39.29	Professional		$20.21	$21.86	$39.29