Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $82.08	Facility		$82.08	$82.08	$82.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $40.72 / $218.23	Professional		$25.46	$40.72	$218.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $224.83 / $365.04	Facility		$61.09	$224.83	$365.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $27.76 / $31.90	Professional		$18.04	$27.76	$31.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.06 / $22.06 / $22.06	Facility		$22.06	$22.06	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $39.24 / $63.63	Professional		$21.35	$39.24	$63.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.67 / $18.67 / $18.67	Professional		$18.67	$18.67	$18.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $40.72 / $66.40	Facility		$30.23	$40.72	$66.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $63.63	Professional		$33.94	$33.94	$63.63
United Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $20.05 / $20.82	Professional		$14.25	$20.05	$20.82