Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $85.56 / $171.12	Facility		$42.78	$85.56	$171.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $68.45 / $366.77	Professional		$42.78	$68.45	$366.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $265.67 / $496.33	Facility		$57.04	$265.67	$496.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $46.66 / $57.04	Professional		$35.00	$46.66	$57.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $37.08 / $37.08	Facility		$37.08	$37.08	$37.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $51.16 / $64.72	Professional		$51.16	$51.16	$64.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $88.41 / $92.98	Professional		$60.00	$88.41	$92.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $71.87 / $124.44	Facility		$37.08	$71.87	$124.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $72.16 / $82.14	Professional		$65.59	$72.16	$82.14
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $34.22	Professional		$23.96	$23.96	$34.22