Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $257.55 / $257.55	Facility		$27.02	$257.55	$257.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.03 / $26.07 / $40.56	Professional		$23.03	$26.07	$40.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $653.64 / $1,120.94	Facility		$181.35	$653.64	$1,120.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $21.75 / $21.75	Professional		$16.30	$21.75	$21.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $24.52 / $24.52	Facility		$24.52	$24.52	$24.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $31.80 / $39.75	Professional		$11.84	$31.80	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $19.50 / $40.56	Facility		$10.35	$19.50	$40.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $22.24 / $40.90	Professional		$11.84	$22.24	$40.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $29.84 / $244.11	Facility		$11.83	$29.84	$244.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $10.58 / $23.39	Professional		$9.53	$10.58	$23.39