Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $38.00 / $125.28	Facility		$38.00	$38.00	$125.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $50.11 / $268.52	Professional		$31.32	$50.11	$268.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.16 / $276.61 / $449.11	Facility		$75.16	$276.61	$449.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $34.15 / $39.25	Professional		$34.15	$34.15	$39.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Facility		$27.14	$27.14	$27.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $64.01 / $103.94	Professional		$37.52	$64.01	$103.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $68.06 / $68.06	Professional		$64.73	$68.06	$68.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $57.66 / $72.56	Facility		$27.14	$57.66	$72.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $56.63 / $91.14	Professional		$48.02	$56.63	$91.14
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $24.50 / $25.60	Professional		$17.54	$24.50	$25.60