Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $63.29 / $168.87	Facility		$20.16	$63.29	$168.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $23.98 / $32.26	Professional		$23.98	$23.98	$32.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $172.12 / $289.13	Facility		$48.39	$172.12	$289.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $21.99 / $25.27	Professional		$16.48	$21.99	$25.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $17.47 / $17.47	Facility		$17.47	$17.47	$17.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $30.71 / $49.58	Professional		$24.19	$30.71	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $43.81 / $43.81	Professional		$41.66	$43.81	$43.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $30.82 / $39.22	Facility		$27.57	$30.82	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $33.38 / $43.48	Professional		$28.60	$33.38	$43.48
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $11.77 / $16.13	Professional		$11.29	$11.77	$16.13