Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $143.43 / $504.80	Facility		$35.86	$143.43	$504.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $61.81 / $307.42	Professional		$35.86	$61.81	$307.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.05 / $299.83 / $514.17	Facility		$86.05	$299.83	$514.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $39.11 / $44.94	Professional		$29.33	$39.11	$44.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.08 / $31.08 / $31.08	Facility		$31.08	$31.08	$31.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $57.29 / $85.83	Professional		$27.27	$57.29	$85.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.84 / $50.27 / $66.43	Facility		$30.84	$50.27	$66.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.81 / $47.81 / $85.83	Professional		$47.81	$47.81	$85.83
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $24.83 / $28.69	Professional		$20.07	$24.83	$28.69