Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $60.80 / $150.44	Facility		$60.80	$60.80	$150.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $22.74 / $162.49	Professional		$20.22	$22.74	$162.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $167.37 / $271.74	Facility		$45.48	$167.37	$271.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $20.67 / $23.75	Professional		$15.50	$20.67	$23.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $16.43 / $16.43	Facility		$16.43	$16.43	$16.43
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 $13.90 / $13.90 / $13.90	Professional		$13.90	$13.90	$13.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $30.32 / $49.43	Facility		$22.51	$30.32	$49.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $47.35	Professional		$25.27	$25.27	$47.35
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $15.03 / $15.50	Professional		$10.61	$15.03	$15.50