Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $89.10 / $204.00	Facility		$33.36	$89.10	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $23.08 / $33.50	Professional		$19.10	$23.08	$33.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $168.69 / $273.89	Facility		$45.84	$168.69	$273.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $20.83 / $23.95	Professional		$15.62	$20.83	$23.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Facility		$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $29.32 / $47.85	Professional		$16.05	$29.32	$47.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $14.01	Professional		$14.01	$14.01	$14.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $30.56 / $49.80	Facility		$22.68	$30.56	$49.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $47.85	Professional		$25.47	$25.47	$47.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.15 / $15.62	Professional		$10.70	$15.15	$15.62