Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $161.12 / $338.96	Facility		$47.12	$161.12	$338.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $23.14 / $31.28	Professional		$22.58	$23.14	$31.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $166.89 / $280.35	Facility		$46.92	$166.89	$280.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $21.33 / $24.51	Professional		$16.00	$21.33	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $30.15 / $37.69	Professional		$12.15	$30.15	$37.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $27.04 / $37.86	Facility		$13.04	$27.04	$37.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $26.07 / $36.50	Professional		$20.55	$26.07	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $11.51 / $15.64	Professional		$10.95	$11.51	$15.64