Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $77.52 / $147.69	Facility		$51.68	$77.52	$147.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $38.76 / $207.69	Professional		$24.23	$38.76	$207.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $213.96 / $347.39	Facility		$58.14	$213.96	$347.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $26.42 / $30.36	Professional		$19.82	$26.42	$30.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Facility		$21.00	$21.00	$21.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $37.17 / $60.67	Professional		$20.26	$37.17	$60.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $17.77 / $17.77	Professional		$17.77	$17.77	$17.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $38.76 / $63.18	Facility		$28.77	$38.76	$63.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $32.29 / $60.67	Professional		$32.29	$32.29	$60.67
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.09 / $19.80	Professional		$13.57	$19.09	$19.80