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 $37.04 / $41.97 / $48.18	Professional		$37.04	$41.97	$48.18
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 / $62.98 / $87.22	Professional		$31.32	$62.98	$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 $22.81 / $51.25 / $74.31	Facility		$22.81	$51.25	$74.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $46.49 / $74.65	Professional		$40.35	$46.49	$74.65
United Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $43.02 / $59.65	Facility		$29.42	$43.02	$59.65
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.60 / $21.53	Professional		$14.74	$20.60	$21.53