Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $112.80 / $129.96	Facility		$59.22	$112.80	$129.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $41.97 / $86.97	Professional		$39.50	$41.97	$86.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $224.68 / $377.41	Facility		$63.16	$224.68	$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 $31.32 / $53.65 / $87.22	Professional		$31.32	$53.65	$87.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.39 / $57.20 / $57.20	Professional		$54.39	$57.20	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $53.94 / $68.66	Facility		$48.24	$53.94	$68.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $47.61 / $76.47	Professional		$40.35	$47.61	$76.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $21.53	Professional		$14.74	$20.60	$21.53