Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $63.58 / $251.99	Facility		$31.79	$63.58	$251.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $50.86 / $272.50	Professional		$31.79	$50.86	$272.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.34 / $300.50 / $81,099.99	Facility		$248.34	$300.50	$81,099.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $39.84	Professional		$34.67	$34.67	$39.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $27.55 / $27.55	Facility		$27.55	$27.55	$27.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $57.92 / $86.62	Professional		$37.83	$57.92	$86.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $69.08 / $69.08	Professional		$65.69	$69.08	$69.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.78 / $53.49 / $68.08	Facility		$39.78	$53.49	$68.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $53.61 / $74.13	Professional		$48.74	$53.61	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $29.39 / $67.81	Professional		$25.43	$29.39	$67.81