Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $66.38 / $132.75	Facility		$33.19	$66.38	$132.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $53.10 / $284.52	Professional		$33.19	$53.10	$284.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.65 / $275.81 / $475.91	Facility		$79.65	$275.81	$475.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.53 / $36.20 / $41.60	Professional		$23.53	$36.20	$41.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $28.76 / $28.76	Facility		$28.76	$28.76	$28.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $50.80 / $63.50	Professional		$8.10	$50.80	$63.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $24.34 / $24.34	Professional		$24.34	$24.34	$24.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $42.04 / $53.10	Facility		$17.80	$42.04	$53.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $41.44 / $44.25	Professional		$19.23	$41.44	$44.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $7.48 / $26.55	Professional		$7.48	$7.48	$26.55