Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $51.29 / $102.57	Facility		$25.64	$51.29	$102.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $41.03 / $219.84	Professional		$25.64	$41.03	$219.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $225.67 / $367.73	Facility		$61.55	$225.67	$367.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $27.97 / $32.14	Professional		$20.98	$27.97	$32.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $39.24 / $59.19	Professional		$19.79	$39.24	$59.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $18.80	Professional		$18.80	$18.80	$18.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $37.61 / $61.71	Facility		$22.22	$37.61	$61.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $34.19 / $48.47	Professional		$33.52	$34.19	$48.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $18.98 / $22.91	Professional		$14.36	$18.98	$22.91