Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $41.71 / $331.20	Facility		$19.55	$41.71	$331.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $31.28 / $167.63	Professional		$19.55	$31.28	$167.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $172.67 / $280.35	Facility		$46.92	$172.67	$280.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $21.33 / $24.51	Professional		$16.00	$21.33	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $30.15 / $48.83	Professional		$16.36	$30.15	$48.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $31.28 / $50.99	Facility		$23.21	$31.28	$50.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $26.07 / $48.83	Professional		$26.07	$26.07	$48.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.51 / $15.99	Professional		$10.95	$15.51	$15.99