Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $75.86	Facility		$63.10	$72.44	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $125.89	Professional		$16.98	$21.88	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $151.36 / $245.47	Facility		$67.61	$151.36	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $21.38	Professional		$13.80	$18.62	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $42.66	Professional		$20.42	$30.90	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $58.88	Professional		$35.48	$35.48	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $34.67 / $63.10	Facility		$17.78	$34.67	$63.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.90 / $43.65	Professional		$20.42	$30.90	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $13.80	Professional		$9.55	$11.75	$13.80