Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $46.29 / $92.58	Facility		$23.15	$46.29	$92.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $37.03 / $198.43	Professional		$23.15	$37.03	$198.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $197.57 / $331.88	Facility		$55.55	$197.57	$331.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $25.24 / $29.01	Professional		$17.53	$25.24	$29.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $35.52 / $44.40	Professional		$14.49	$35.52	$44.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $16.97 / $16.97	Professional		$16.97	$16.97	$16.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $29.32 / $37.03	Facility		$20.44	$29.32	$37.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $30.86 / $35.15	Professional		$24.38	$30.86	$35.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $14.07 / $18.52	Professional		$12.96	$14.07	$18.52