Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $64.59 / $80.37	Facility		$64.59	$64.59	$80.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $32.15 / $172.26	Professional		$20.09	$32.15	$172.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.22 / $177.47 / $288.14	Facility		$48.22	$177.47	$288.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $21.91 / $25.18	Professional		$16.43	$21.91	$25.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $17.41 / $17.41	Facility		$17.41	$17.41	$17.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $30.98 / $50.31	Professional		$16.82	$30.98	$50.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $32.15 / $52.37	Facility		$23.85	$32.15	$52.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $26.79 / $50.31	Professional		$26.79	$26.79	$50.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.93 / $16.42	Professional		$11.25	$15.93	$16.42