Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $73.55 / $147.09	Facility		$36.77	$73.55	$147.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $58.84 / $315.26	Professional		$36.77	$58.84	$315.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.25 / $324.74 / $527.26	Facility		$88.25	$324.74	$527.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $40.11 / $46.09	Professional		$26.07	$40.11	$46.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.87 / $31.87 / $31.87	Facility		$31.87	$31.87	$31.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $56.58 / $92.24	Professional		$30.85	$56.58	$92.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $26.97 / $26.97	Professional		$26.97	$26.97	$26.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $58.84 / $95.89	Facility		$43.67	$58.84	$95.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $92.24	Professional		$49.03	$49.03	$92.24
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $29.16 / $30.06	Professional		$20.59	$29.16	$30.06