Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.26 / $62.53 / $125.04	Facility		$31.26	$62.53	$125.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $50.02 / $268.00	Professional		$31.26	$50.02	$268.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $261.41 / $448.30	Facility		$75.03	$261.41	$448.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $34.09 / $39.18	Professional		$25.57	$34.09	$39.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Facility		$27.09	$27.09	$27.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $53.65 / $87.22	Professional		$37.21	$53.65	$87.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $67.94 / $67.94	Professional		$64.59	$67.94	$67.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $53.94 / $68.66	Facility		$48.24	$53.94	$68.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $52.93 / $76.47	Professional		$47.61	$52.93	$76.47
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $20.60 / $25.01	Professional		$17.51	$20.60	$25.01