Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $91.20 / $239.88	Facility		$81.28	$91.20	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $46.77	Professional		$19.05	$25.12	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $177.83 / $295.12	Facility		$70.79	$177.83	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $25.70	Professional		$14.45	$16.98	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.90 / $39.81	Professional		$12.59	$30.90	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $35.48	Facility		$17.78	$28.18	$35.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.90 / $50.12	Professional		$12.59	$30.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $24.55 / $24.55	Facility		$14.79	$24.55	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $16.60	Professional		$11.48	$12.02	$16.60