Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $138.32 / $223.72	Facility		$81.31	$138.32	$223.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $28.78 / $66.30	Professional		$22.08	$28.78	$66.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.01 / $310.12 / $531.83	Facility		$89.01	$310.12	$531.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $20.14 / $44.29	Professional		$6.04	$20.14	$44.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $19.63 / $19.63	Facility		$19.63	$19.63	$19.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $34.82 / $49.48	Professional		$25.09	$34.82	$49.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $32.34 / $34.52	Professional		$10.74	$32.34	$34.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $36.74 / $49.64	Facility		$23.13	$36.74	$49.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $43.07 / $66.45	Professional		$26.78	$43.07	$66.45
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $385.09	Facility		$173.78	$173.78	$385.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $29.23 / $57.51	Professional		$27.77	$29.23	$57.51