Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $151.36 / $208.93	Facility		$54.95	$151.36	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.02 / $123.03	Professional		$20.89	$38.02	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $354.81 / $588.84	Facility		$144.54	$354.81	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $54.95	Professional		$30.20	$43.65	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $89.13	Facility		$64.57	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $67.61	Professional		$27.54	$45.71	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $79.43	Facility		$28.84	$43.65	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $67.61	Professional		$28.18	$45.71	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $50.12	Professional		$32.36	$41.69	$50.12