Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $98.04 / $242.25	Facility		$98.04	$98.04	$242.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $38.71 / $255.00	Professional		$32.60	$38.71	$255.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.34 / $269.93 / $438.27	Facility		$73.34	$269.93	$438.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $33.33 / $38.31	Professional		$25.00	$33.33	$38.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $26.49 / $26.49	Facility		$26.49	$26.49	$26.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $46.67 / $76.45	Professional		$25.71	$46.67	$76.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $22.41 / $22.41	Professional		$22.41	$22.41	$22.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $48.90 / $79.72	Facility		$36.29	$48.90	$79.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $76.45	Professional		$40.75	$40.75	$76.45
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.24 / $24.99	Professional		$17.12	$24.24	$24.99