Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.28 / $59.28 / $59.28	Facility		$59.28	$59.28	$59.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $31.98 / $171.36	Professional		$19.98	$31.98	$171.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $167.13 / $286.62	Facility		$47.97	$167.13	$286.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $21.80 / $25.05	Professional		$14.17	$21.80	$25.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $17.32 / $17.32	Facility		$17.32	$17.32	$17.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $30.56 / $46.37	Professional		$15.43	$30.56	$46.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Professional		$14.66	$14.66	$14.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $31.98 / $48.10	Facility		$21.90	$31.98	$48.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $26.65 / $46.37	Professional		$26.12	$26.65	$46.37
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $14.63 / $15.99	Professional		$11.19	$14.63	$15.99