Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $67.64 / $131.57	Facility		$21.08	$67.64	$131.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $32.50 / $45.93	Professional		$18.27	$32.50	$45.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $186.13 / $302.22	Facility		$50.58	$186.13	$302.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $22.99 / $26.41	Professional		$17.23	$22.99	$26.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $18.27 / $18.27	Facility		$18.27	$18.27	$18.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $32.21 / $52.78	Professional		$17.76	$32.21	$52.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $15.46 / $15.46	Professional		$15.46	$15.46	$15.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $33.72 / $54.95	Facility		$23.79	$33.72	$54.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $28.10 / $52.78	Professional		$28.10	$28.10	$52.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.61 / $17.23	Professional		$11.80	$16.61	$17.23