Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.47 / $48.93 / $97.86	Facility		$24.47	$48.93	$97.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $39.14 / $209.75	Professional		$24.47	$39.14	$209.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $216.05 / $350.79	Facility		$58.71	$216.05	$350.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $26.68 / $30.66	Professional		$17.34	$26.68	$30.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Facility		$21.20	$21.20	$21.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $37.58 / $100.63	Professional		$32.10	$37.58	$100.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $17.94 / $17.94	Professional		$17.94	$17.94	$17.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $39.14 / $89.52	Facility		$27.57	$39.14	$89.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $32.61 / $84.06	Professional		$32.61	$32.61	$84.06
United Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $32.61 / $32.61	Facility		$32.61	$32.61	$32.61
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.39 / $20.00	Professional		$13.70	$19.39	$20.00