Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $62.65 / $125.31	Facility		$31.33	$62.65	$125.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $50.12 / $268.58	Professional		$22.25	$50.12	$268.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.18 / $261.94 / $449.20	Facility		$75.18	$261.94	$449.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $34.17 / $39.26	Professional		$25.63	$34.17	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $27.15 / $27.15	Facility		$27.15	$27.15	$27.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $46.86 / $59.89	Professional		$15.74	$46.86	$59.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $22.97 / $22.97	Professional		$22.97	$22.97	$22.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $39.68 / $48.83	Facility		$22.23	$39.68	$48.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $41.77 / $43.87	Professional		$26.51	$41.77	$43.87
United Facility/Professional Professional Modifier Low / Median / High Price $14.41 / $15.31 / $25.06	Professional		$14.41	$15.31	$25.06