Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $77.43 / $787.50	Facility		$30.96	$77.43	$787.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $23.38 / $165.96	Professional		$16.78	$23.38	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $170.95 / $277.57	Facility		$46.45	$170.95	$277.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $21.11 / $24.26	Professional		$15.83	$21.11	$24.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $16.78 / $16.78	Facility		$16.78	$16.78	$16.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $29.74 / $48.34	Professional		$16.21	$29.74	$48.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $14.20	Professional		$14.20	$14.20	$14.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $30.97 / $50.48	Facility		$22.98	$30.97	$50.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $25.81 / $48.34	Professional		$25.81	$25.81	$48.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.36 / $15.83	Professional		$10.84	$15.36	$15.83