Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $114.53 / $1,409.04	Facility		$55.49	$114.53	$1,409.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $30.54 / $68.67	Professional		$30.42	$30.54	$68.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $159.61 / $273.70	Facility		$45.81	$159.61	$273.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $20.82 / $23.94	Professional		$15.62	$20.82	$23.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Facility		$16.54	$16.54	$16.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $29.32 / $47.85	Professional		$16.05	$29.32	$47.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Professional		$14.00	$14.00	$14.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.66 / $30.54 / $49.76	Facility		$22.66	$30.54	$49.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $47.85	Professional		$25.45	$25.45	$47.85
United Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $18.80 / $18.80	Facility		$18.80	$18.80	$18.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.14 / $15.60	Professional		$10.69	$15.14	$15.60