Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $140.94 / $146.68	Facility		$69.92	$140.94	$146.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $44.63 / $61.82	Professional		$41.87	$44.63	$61.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.55 / $294.60 / $505.22	Facility		$84.55	$294.60	$505.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.82 / $38.43 / $44.16	Professional		$28.82	$38.43	$44.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.61 / $54.10 / $88.30	Professional		$29.61	$54.10	$88.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $25.84 / $25.84	Professional		$25.84	$25.84	$25.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.85 / $56.38 / $91.91	Facility		$41.85	$56.38	$91.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $46.98 / $88.30	Professional		$46.98	$46.98	$88.30
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $27.77 / $28.81	Professional		$19.73	$27.77	$28.81