Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $58.01 / $388.13	Facility		$22.07	$58.01	$388.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $139.71 / $310.50	Professional		$22.07	$139.71	$310.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $134.68 / $285.05	Professional		$20.20	$134.68	$285.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Facility		$32.03	$32.03	$32.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $134.84 / $327.99	Professional		$26.49	$134.84	$327.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $216.46	Professional		$32.34	$32.34	$216.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $135.41 / $310.50	Facility		$19.11	$135.41	$310.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.67 / $176.04 / $416.54	Professional		$29.67	$176.04	$416.54
United Facility/Professional Professional Modifier Low / Median / High Price $215.08 / $284.00 / $403.28	Professional		$215.08	$284.00	$403.28