Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.16 / $19.16 / $41.38	Facility		$19.16	$19.16	$41.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $41.38 / $59.06	Professional		$21.57	$41.38	$59.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.34 / $279.31 / $469.19	Facility		$113.34	$279.31	$469.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $36.93 / $64.68	Professional		$16.64	$36.93	$64.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $49.99 / $83.96	Professional		$27.38	$49.99	$83.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $77.60	Professional		$32.34	$32.34	$77.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $41.38 / $61.86	Facility		$21.66	$41.38	$61.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $59.42 / $109.06	Professional		$28.97	$59.42	$109.06
United Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $72.93 / $104.30	Professional		$35.89	$72.93	$104.30