Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $59.06 / $167.15	Facility		$25.81	$59.06	$167.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $71.84 / $133.72	Professional		$29.10	$71.84	$133.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $205.93 / $335.56	Facility		$81.06	$205.93	$335.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $56.85 / $104.55	Professional		$26.64	$56.85	$104.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $46.38 / $46.38	Facility		$46.38	$46.38	$46.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $72.08 / $142.63	Professional		$34.04	$72.08	$142.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $113.79	Professional		$32.34	$32.34	$113.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.32 / $74.11 / $156.22	Facility		$28.32	$74.11	$156.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $92.08 / $180.53	Professional		$37.10	$92.08	$180.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $131.60 / $195.14	Professional		$89.05	$131.60	$195.14