Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $424.08 / $1,272.24	Facility		$72.95	$424.08	$1,272.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.62 / $130.08	Professional		$19.57	$24.62	$130.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $118.79 / $192.87	Facility		$32.28	$118.79	$192.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $14.67 / $16.87	Professional		$11.00	$14.67	$16.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $11.65	Facility		$11.65	$11.65	$11.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.65 / $33.54	Professional		$11.22	$20.65	$33.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $20.79 / $31.10	Facility		$15.98	$20.79	$31.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.82 / $17.93 / $33.54	Professional		$15.82	$17.93	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.67 / $12.01	Professional		$7.53	$10.67	$12.01