Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.53 / $38.39	Professional		$30.23	$30.53	$38.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $159.29 / $265.22	Facility		$65.98	$159.29	$265.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $30.43 / $35.72	Professional		$26.80	$30.43	$35.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Facility		$30.23	$30.23	$30.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $30.48 / $49.49	Professional		$30.48	$30.48	$49.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $33.25 / $41.02	Facility		$30.23	$33.25	$41.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $38.10	Professional		$30.23	$30.23	$38.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.23	Professional		$30.23	$30.23	$30.23