Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.32 / $52.64 / $105.27	Facility		$26.32	$52.64	$105.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $41.97 / $225.63	Professional		$26.76	$41.97	$225.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $224.89 / $377.41	Facility		$63.16	$224.89	$377.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $28.70 / $32.97	Professional		$21.53	$28.70	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Facility		$22.81	$22.81	$22.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $51.32 / $76.47	Professional		$37.28	$51.32	$76.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $54.39 / $57.20	Professional		$19.30	$54.39	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.60 / $48.24	Facility		$33.34	$38.60	$48.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $44.24 / $69.98	Professional		$35.09	$44.24	$69.98
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.88 / $21.11	Professional		$14.74	$20.88	$21.11