Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $87.84 / $382.50	Facility		$21.96	$87.84	$382.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $35.14 / $188.27	Professional		$21.96	$35.14	$188.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.70 / $193.92 / $314.85	Facility		$52.70	$193.92	$314.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $23.95 / $27.52	Professional		$17.96	$23.95	$27.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $19.03 / $19.03	Facility		$19.03	$19.03	$19.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $33.86 / $54.75	Professional		$18.39	$33.86	$54.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Professional		$16.10	$16.10	$16.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $35.14 / $57.26	Facility		$26.07	$35.14	$57.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $29.28 / $54.75	Professional		$29.28	$29.28	$54.75
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.30 / $17.95	Professional		$12.30	$17.30	$17.95