Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $55.73 / $82.91	Professional		$23.60	$55.73	$82.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $264.77 / $470.17	Facility		$123.09	$264.77	$470.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $55.29 / $94.78	Professional		$19.64	$55.29	$94.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.21 / $42.21 / $42.21	Facility		$42.21	$42.21	$42.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $58.43 / $125.41	Professional		$31.17	$58.43	$125.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $106.43	Professional		$32.34	$32.34	$106.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $61.52 / $91.22	Facility		$24.62	$61.52	$91.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $77.51 / $148.35	Professional		$32.31	$77.51	$148.35
United Facility/Professional Professional Modifier Low / Median / High Price $85.47 / $112.84 / $154.06	Professional		$85.47	$112.84	$154.06