Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $115.86 / $197.70	Facility		$92.72	$115.86	$197.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $44.67 / $53.03	Professional		$33.67	$44.67	$53.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $255.80 / $415.32	Facility		$69.51	$255.80	$415.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $31.59 / $36.29	Professional		$23.69	$31.59	$36.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.10 / $25.10 / $25.10	Facility		$25.10	$25.10	$25.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $44.19 / $72.51	Professional		$24.31	$44.19	$72.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $46.34 / $75.56	Facility		$34.40	$46.34	$75.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $38.61 / $72.51	Professional		$38.61	$38.61	$72.51
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.17 / $23.69	Professional		$16.22	$23.17	$23.69