Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $87.10 / $154.88	Facility		$56.23	$87.10	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $46.77	Professional		$34.67	$42.66	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $302.00 / $501.19	Facility		$102.33	$302.00	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $44.67	Professional		$25.12	$38.02	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $89.13	Professional		$29.51	$53.70	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $51.29 / $81.28	Facility		$41.69	$51.29	$81.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $104.71	Professional		$29.51	$72.44	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $42.66	Facility		$34.67	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $28.84	Professional		$19.95	$27.54	$28.84