Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.34 / $203.04 / $302.48	Facility		$156.34	$203.04	$302.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $24.28 / $172.20	Professional		$20.09	$24.28	$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 $16.43 / $21.91 / $25.17	Professional		$16.43	$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 / $32.14 / $52.37	Facility		$23.85	$32.14	$52.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $26.78 / $50.31	Professional		$26.78	$26.78	$50.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.93 / $16.42	Professional		$11.25	$15.93	$16.42