Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $39.10 / $78.20	Facility		$19.55	$39.10	$78.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $31.28 / $167.63	Professional		$19.55	$31.28	$167.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $172.67 / $280.35	Facility		$46.92	$172.67	$280.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Facility		$16.95	$16.95	$16.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $41.96 / $64.52	Professional		$23.26	$41.96	$64.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $42.49 / $42.49	Professional		$40.40	$42.49	$42.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $40.06 / $50.99	Facility		$32.97	$40.06	$50.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $34.79 / $56.57	Professional		$29.98	$34.79	$56.57
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.30 / $15.99	Professional		$10.95	$15.30	$15.99