Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $57.69	Facility		$43.32	$43.32	$57.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $29.48 / $162.36	Professional		$18.94	$29.48	$162.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $167.26 / $271.56	Facility		$45.45	$167.26	$271.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $20.65 / $23.74	Professional		$13.64	$20.65	$23.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.41 / $16.41 / $16.41	Facility		$16.41	$16.41	$16.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $28.91 / $47.35	Professional		$15.89	$28.91	$47.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $13.89 / $13.89	Professional		$13.89	$13.89	$13.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $24.96 / $43.82	Facility		$22.49	$24.96	$43.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $25.25 / $47.35	Professional		$18.97	$25.25	$47.35
United Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $25.25	Facility		$25.25	$25.25	$25.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.02 / $15.49	Professional		$10.61	$15.02	$15.49