Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.93 / $57.85 / $115.71	Facility		$28.93	$57.85	$115.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $46.28 / $248.01	Professional		$21.40	$46.28	$248.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $208.13 / $345.68	Facility		$57.86	$208.13	$345.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $31.55 / $36.26	Professional		$19.10	$31.55	$36.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $25.07 / $25.07	Facility		$25.07	$25.07	$25.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $44.19 / $55.24	Professional		$44.19	$44.19	$55.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Professional		$38.57	$38.57	$38.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $36.64 / $46.28	Facility		$20.44	$36.64	$46.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $38.57 / $38.57	Professional		$31.63	$38.57	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $16.20 / $23.14	Professional		$16.20	$16.20	$23.14