Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $77.08 / $221.13	Facility		$40.33	$77.08	$221.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $29.85 / $33.96	Professional		$21.23	$29.85	$33.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $170.95 / $277.57	Facility		$46.45	$170.95	$277.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $21.11 / $24.99	Professional		$15.83	$21.11	$24.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Facility		$16.78	$16.78	$16.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $29.74 / $48.34	Professional		$16.21	$29.74	$48.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $14.20	Professional		$14.20	$14.20	$14.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $30.97 / $50.51	Facility		$23.00	$30.97	$50.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $48.34	Professional		$25.81	$25.81	$48.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.36 / $15.83	Professional		$10.84	$15.36	$15.83