Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.60 / $129.19 / $333.11	Facility		$109.60	$129.19	$333.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $39.64 / $60.50	Professional		$29.58	$39.64	$60.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $251.36 / $422.22	Facility		$70.66	$251.36	$422.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $32.11 / $36.90	Professional		$24.08	$32.11	$36.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $25.52 / $25.52	Facility		$25.52	$25.52	$25.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $45.02 / $63.63	Professional		$21.35	$45.02	$63.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $21.59 / $21.59	Professional		$21.59	$21.59	$21.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $47.11 / $66.40	Facility		$30.23	$47.11	$66.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.06 / $39.26 / $63.63	Professional		$36.06	$39.26	$63.63
United Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $35.33	Facility		$35.33	$35.33	$35.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.42 / $23.56	Professional		$16.48	$20.42	$23.56