Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $87.74 / $175.47	Facility		$43.87	$87.74	$175.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $70.19 / $376.09	Professional		$43.87	$70.19	$376.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $303.80 / $524.22	Facility		$58.49	$303.80	$524.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $47.84 / $58.49	Professional		$35.88	$47.84	$58.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $52.40 / $66.36	Professional		$52.40	$52.40	$66.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $90.66 / $95.34	Professional		$60.00	$90.66	$95.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $73.70 / $84.04	Facility		$38.02	$73.70	$84.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $73.98 / $84.23	Professional		$67.26	$73.98	$84.23
United Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $58.49	Facility		$58.49	$58.49	$58.49
United Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $24.57 / $35.09	Professional		$24.57	$24.57	$35.09