Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $80.34 / $496.80	Facility		$20.09	$80.34	$496.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $32.14 / $172.20	Professional		$20.09	$32.14	$172.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $167.97 / $288.05	Facility		$48.21	$167.97	$288.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $21.91 / $25.17	Professional		$14.24	$21.91	$25.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.41 / $17.41 / $17.41	Facility		$17.41	$17.41	$17.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $30.98 / $50.31	Professional		$16.82	$30.98	$50.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Professional		$14.73	$14.73	$14.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $25.44 / $39.09	Facility		$23.85	$25.44	$39.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $26.78 / $41.07	Professional		$20.21	$26.78	$41.07
United Facility/Professional Facility Modifier Low / Median / High Price $22.45 / $32.82 / $45.50	Facility		$22.45	$32.82	$45.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.93 / $16.42	Professional		$11.25	$15.93	$16.42