Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $83.60 / $83.60	Facility		$79.05	$83.60	$83.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $35.22 / $229.81	Professional		$26.81	$35.22	$229.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $224.15 / $384.40	Facility		$64.34	$224.15	$384.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $29.24 / $33.63	Professional		$21.93	$29.24	$33.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $23.23 / $23.23	Facility		$23.23	$23.23	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $40.89 / $51.11	Professional		$16.82	$40.89	$51.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $19.66 / $19.66	Professional		$19.66	$19.66	$19.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.87 / $37.40 / $52.37	Facility		$17.87	$37.40	$52.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $35.74 / $50.31	Professional		$28.44	$35.74	$50.31
United Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $32.17 / $32.17	Facility		$32.17	$32.17	$32.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $15.93 / $21.44	Professional		$15.01	$15.93	$21.44