Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Facility		$50.16	$50.16	$50.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $37.18 / $199.20	Professional		$23.24	$37.18	$199.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.76 / $205.18 / $333.14	Facility		$55.76	$205.18	$333.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $25.34 / $29.12	Professional		$16.47	$25.34	$29.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $20.14 / $20.14	Facility		$20.14	$20.14	$20.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $35.52 / $58.21	Professional		$19.48	$35.52	$58.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.04 / $17.04	Professional		$17.04	$17.04	$17.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.59 / $34.08 / $53.71	Facility		$27.59	$34.08	$53.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.03 / $30.98 / $58.21	Professional		$22.03	$30.98	$58.21
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $18.30 / $19.00	Professional		$13.01	$18.30	$19.00