Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.24 / $46.48 / $92.94	Facility		$23.24	$46.48	$92.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $37.18 / $199.20	Professional		$23.24	$37.18	$199.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $171.01 / $277.66	Facility		$46.47	$171.01	$277.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.34 / $29.12	Professional		$19.00	$25.34	$29.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Facility		$20.14	$20.14	$20.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $35.52 / $58.21	Professional		$19.48	$35.52	$58.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.04 / $17.04	Professional		$17.04	$17.04	$17.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.77 / $37.18 / $60.59	Facility		$22.77	$37.18	$60.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $58.21	Professional		$30.98	$30.98	$58.21
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.43 / $19.00	Professional		$13.01	$18.43	$19.00