Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $95.50 / $97.72	Facility		$44.67	$95.50	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $34.67	Professional		$21.88	$26.30	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $204.17 / $316.23	Facility		$89.13	$204.17	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $27.54	Professional		$18.20	$23.99	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.88 / $54.95	Professional		$18.62	$33.88	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $51.29	Facility		$26.30	$35.48	$51.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $44.67 / $74.13	Professional		$18.62	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $26.30	Facility		$21.88	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $18.20	Professional		$12.30	$17.38	$18.20