Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.76 / $96.90 / $110.20	Facility		$95.76	$96.90	$110.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $45.28 / $242.60	Professional		$28.30	$45.28	$242.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $236.64 / $405.82	Facility		$67.92	$236.64	$405.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $30.86 / $35.47	Professional		$23.14	$30.86	$35.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $24.52 / $24.52	Facility		$24.52	$24.52	$24.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $43.37 / $71.03	Professional		$23.69	$43.37	$71.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $20.75 / $20.75	Professional		$20.75	$20.75	$20.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $42.81 / $65.48	Facility		$33.60	$42.81	$65.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $37.72 / $57.72	Professional		$32.54	$37.72	$57.72
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.25 / $64.12	Facility		$31.62	$46.25	$64.12
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.44 / $23.13	Professional		$15.85	$22.44	$23.13