Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $57.80 / $66.91	Facility		$55.64	$57.80	$66.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $25.92 / $43.14	Professional		$20.90	$25.92	$43.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $161.29 / $286.39	Facility		$74.98	$161.29	$286.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $22.44 / $36.83	Professional		$14.27	$22.44	$36.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.67 / $36.54 / $48.90	Professional		$25.67	$36.54	$48.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $26.85 / $34.86	Facility		$21.63	$26.85	$34.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $41.77 / $60.41	Professional		$27.25	$41.77	$60.41
United Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $38.22 / $54.89	Professional		$28.08	$38.22	$54.89