Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.25 / $92.12 / $215.04	Facility		$46.25	$92.12	$215.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $29.60 / $38.95	Professional		$20.72	$29.60	$38.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.28 / $195.37 / $318.35	Facility		$53.28	$195.37	$318.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $24.21 / $27.82	Professional		$18.16	$24.21	$27.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Facility		$19.23	$19.23	$19.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $34.28 / $55.74	Professional		$18.70	$34.28	$55.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $16.28 / $16.28	Professional		$16.28	$16.28	$16.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $35.52 / $57.90	Facility		$26.37	$35.52	$57.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $29.60 / $55.74	Professional		$29.60	$29.60	$55.74
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $17.61 / $18.14	Professional		$12.43	$17.61	$18.14