Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.15 / $44.30 / $88.59	Facility		$22.15	$44.30	$88.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $35.44 / $189.88	Professional		$22.15	$35.44	$189.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $195.63 / $317.63	Facility		$53.16	$195.63	$317.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $24.16 / $27.76	Professional		$18.12	$24.16	$27.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $19.19 / $19.19	Facility		$19.19	$19.19	$19.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $33.86 / $55.25	Professional		$18.54	$33.86	$55.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $16.23 / $16.23	Professional		$16.23	$16.23	$16.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.44 / $57.76	Facility		$26.30	$35.44	$57.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $29.53 / $55.25	Professional		$29.53	$29.53	$55.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.57 / $18.11	Professional		$12.40	$17.57	$18.11