Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.88 / $66.88 / $135.81	Facility		$66.88	$66.88	$135.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $25.23 / $175.00	Professional		$23.60	$25.23	$175.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.04 / $177.99 / $298.99	Facility		$50.04	$177.99	$298.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $22.74 / $26.13	Professional		$17.05	$22.74	$26.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Facility		$18.07	$18.07	$18.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $31.80 / $52.29	Professional		$17.45	$31.80	$52.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $33.36 / $54.39	Facility		$24.77	$33.36	$54.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $27.80 / $52.29	Professional		$27.80	$27.80	$52.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.54 / $17.05	Professional		$11.68	$16.54	$17.05