Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $52.21 / $104.43	Facility		$26.11	$52.21	$104.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $41.77 / $223.83	Professional		$26.11	$41.77	$223.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $277.39 / $81,099.99	Facility		$229.24	$277.39	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $28.47 / $32.72	Professional		$28.47	$28.47	$32.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $22.63 / $22.63	Facility		$22.63	$22.63	$22.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $53.49 / $80.05	Professional		$31.32	$53.49	$80.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $56.74 / $56.74	Professional		$53.96	$56.74	$56.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $49.38 / $62.85	Facility		$34.82	$49.38	$62.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.03 / $46.12 / $68.47	Professional		$40.03	$46.12	$68.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.80 / $53.60	Professional		$20.89	$26.80	$53.60