Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $202.30 / $202.30	Facility		$19.66	$202.30	$202.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $25.94 / $28.46	Professional		$21.84	$25.94	$28.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.83 / $860.19 / $1,444.93	Facility		$241.83	$860.19	$1,444.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $7.38 / $36.94	Professional		$2.63	$7.38	$36.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $28.34	Facility		$28.34	$28.34	$28.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $34.57 / $44.24	Professional		$25.35	$34.57	$44.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $36.19 / $60.00	Professional		$34.47	$36.19	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $25.54 / $33.54	Facility		$18.93	$25.54	$33.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $37.32 / $64.38	Professional		$26.50	$37.32	$64.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $34.78 / $49.96	Professional		$25.30	$34.78	$49.96