Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $64.26 / $160.60	Facility		$16.07	$64.26	$160.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $25.70 / $137.72	Professional		$16.07	$25.70	$137.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $184.88 / $81,099.99	Facility		$152.79	$184.88	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $17.52 / $20.13	Professional		$17.52	$17.52	$20.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $13.92 / $13.92	Facility		$13.92	$13.92	$13.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $35.79 / $53.17	Professional		$19.22	$35.79	$53.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $34.90 / $34.90	Professional		$33.20	$34.90	$34.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $32.92 / $41.90	Facility		$19.89	$32.92	$41.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.63 / $29.77 / $46.62	Professional		$24.63	$29.77	$46.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $18.07 / $40.70	Professional		$12.85	$18.07	$40.70