Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.48 / $55.48 / $170.00	Facility		$55.48	$55.48	$170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $20.50 / $147.50	Professional		$17.21	$20.50	$147.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.30 / $151.97 / $246.74	Facility		$41.30	$151.97	$246.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $18.76 / $21.56	Professional		$14.07	$18.76	$21.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.91 / $14.91 / $14.91	Facility		$14.91	$14.91	$14.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $26.43 / $42.92	Professional		$14.49	$26.43	$42.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $12.62 / $12.62	Professional		$12.62	$12.62	$12.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $27.53 / $44.88	Facility		$20.44	$27.53	$44.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $22.94 / $42.92	Professional		$22.94	$22.94	$42.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.65 / $14.07	Professional		$9.63	$13.65	$14.07