Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.08 / $44.08 / $217.60	Facility		$44.08	$44.08	$217.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $43.88 / $235.15	Professional		$27.43	$43.88	$235.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $242.22 / $393.27	Facility		$65.81	$242.22	$393.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $29.91 / $34.38	Professional		$22.43	$29.91	$34.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Facility		$23.77	$23.77	$23.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $42.13 / $68.56	Professional		$23.06	$42.13	$68.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $20.11 / $20.11	Professional		$20.11	$20.11	$20.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.57 / $43.88 / $71.53	Facility		$32.57	$43.88	$71.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $36.57 / $68.56	Professional		$36.57	$36.57	$68.56
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $22.42	Professional		$15.36	$21.94	$22.42