Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $125.89	Facility		$45.71	$97.72	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $38.02	Professional		$28.18	$33.88	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $239.88 / $407.38	Facility		$85.11	$239.88	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $35.48	Professional		$19.95	$22.91	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $43.65 / $70.79	Professional		$23.44	$43.65	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $41.69 / $58.88	Facility		$24.55	$41.69	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $57.54 / $83.18	Professional		$23.44	$57.54	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $33.88	Facility		$28.18	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $22.91	Professional		$15.85	$22.39	$22.91