Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $128.44 / $159.74	Facility		$52.64	$128.44	$159.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $42.10 / $98.40	Professional		$38.29	$42.10	$98.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.16 / $232.45 / $377.41	Facility		$63.16	$232.45	$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 / $58.21 / $80.05	Professional		$31.32	$58.21	$80.05
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 / $22.81 / $54.60	Facility		$22.81	$22.81	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $47.43 / $68.98	Professional		$40.35	$47.43	$68.98
United Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $43.02 / $57.44	Facility		$28.72	$43.02	$57.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.11 / $21.05	Professional		$14.74	$20.11	$21.05