Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.02 / $158.49	Facility		$37.15	$38.02	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $93.33	Professional		$23.99	$57.54	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $302.00 / $489.78	Facility		$177.83	$302.00	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $54.95 / $87.10	Professional		$19.50	$54.95	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $123.03	Professional		$29.51	$75.86	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $141.25	Facility		$25.70	$61.66	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $151.36	Professional		$30.90	$74.13	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $138.04	Professional		$30.90	$67.61	$138.04