Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $89.13	Facility		$40.74	$87.10	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $48.98	Professional		$19.05	$25.12	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $245.47	Facility		$67.61	$147.91	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $25.70	Professional		$14.45	$22.39	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.30 / $38.90	Professional		$10.72	$26.30	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $25.70 / $33.11	Facility		$17.78	$25.70	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.30 / $42.66	Professional		$12.30	$26.30	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $24.55 / $24.55	Facility		$12.59	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $16.22	Professional		$10.00	$10.47	$16.22