Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $102.33 / $165.96	Facility		$51.29	$102.33	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $107.15	Professional		$28.84	$44.67	$107.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $281.84 / $457.09	Facility		$112.20	$281.84	$457.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $39.81	Professional		$26.30	$34.67	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $91.20	Professional		$38.02	$66.07	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $109.65	Professional		$66.07	$66.07	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $74.13 / $125.89	Facility		$28.84	$74.13	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $61.66 / $93.33	Professional		$38.02	$61.66	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $26.30	Professional		$17.78	$25.12	$26.30