Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.40 / $50.79 / $101.58	Facility		$25.40	$50.79	$101.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $40.63 / $217.72	Professional		$25.40	$40.63	$217.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.95 / $214.27 / $364.15	Facility		$60.95	$214.27	$364.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $27.70 / $31.83	Professional		$18.96	$27.70	$31.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $22.01 / $22.01	Facility		$22.01	$22.01	$22.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $39.24 / $49.04	Professional		$15.58	$39.24	$49.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $34.68 / $48.55	Facility		$22.01	$34.68	$48.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $33.86 / $38.11	Professional		$26.37	$33.86	$38.11
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $14.93 / $20.32	Professional		$14.22	$14.93	$20.32