Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $134.90 / $138.04	Facility		$63.10	$134.90	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $112.20	Professional		$26.92	$38.90	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $288.40 / $446.68	Facility		$125.89	$288.40	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $38.90	Professional		$25.70	$33.88	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $89.13	Professional		$37.15	$64.57	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $107.15	Professional		$64.57	$64.57	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $72.44 / $123.03	Facility		$26.92	$72.44	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $91.20	Professional		$37.15	$60.26	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $25.70	Professional		$17.38	$24.55	$25.70