Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $76.29 / $152.58	Facility		$38.15	$76.29	$152.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $61.03 / $327.02	Professional		$38.15	$61.03	$327.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.55 / $318.95 / $546.98	Facility		$91.55	$318.95	$546.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $41.60 / $47.81	Professional		$27.04	$41.60	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Facility		$33.06	$33.06	$33.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $58.23 / $72.79	Professional		$21.35	$58.23	$72.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $27.97 / $27.97	Professional		$27.97	$27.97	$27.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $48.32 / $61.03	Facility		$25.43	$48.32	$61.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $50.86 / $52.17	Professional		$36.06	$50.86	$52.17
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $20.05 / $30.52	Professional		$7.94	$20.05	$30.52