Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $33.88	Professional		$14.13	$28.18	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $165.96	Facility		$134.90	$158.49	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $31.62	Professional		$23.44	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $95.50	Professional		$31.62	$44.67	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $32.36 / $46.77	Facility		$23.44	$32.36	$46.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.98 / $25.70	Professional		$15.85	$16.98	$25.70