Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $83.18 / $151.36	Facility		$74.13	$83.18	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $23.99	Professional		$18.20	$21.88	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $165.96 / $269.15	Facility		$64.57	$165.96	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $23.44	Professional		$15.14	$20.42	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $46.77	Professional		$15.85	$28.18	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $43.65	Facility		$22.39	$30.20	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.02 / $61.66	Professional		$15.85	$38.02	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $22.39	Facility		$18.62	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.79 / $15.14	Professional		$10.47	$14.79	$15.14