Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $371.54	Facility		$83.18	$91.20	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $32.36	Professional		$20.89	$25.12	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $154.88 / $251.19	Facility		$69.18	$154.88	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $26.30	Professional		$14.79	$22.91	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $31.62 / $39.81	Professional		$12.59	$31.62	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.30 / $33.88	Facility		$14.45	$26.30	$33.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $29.51 / $41.69	Professional		$12.59	$29.51	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $25.12	Facility		$20.42	$25.12	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $16.60	Professional		$11.75	$11.75	$16.60