Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $33.01 / $141.10	Facility		$33.01	$33.01	$141.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $36.46 / $47.27	Professional		$27.37	$36.46	$47.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.49 / $222.63 / $395.32	Facility		$103.49	$222.63	$395.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $30.65 / $49.11	Professional		$20.93	$30.65	$49.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $52.43 / $52.43	Facility		$52.43	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $53.95 / $72.47	Professional		$37.00	$53.95	$72.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.51	Professional		$32.34	$32.34	$36.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $37.97 / $52.25	Facility		$30.30	$37.97	$52.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $60.52 / $86.13	Professional		$38.84	$60.52	$86.13
United Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $57.00 / $83.22	Professional		$41.04	$57.00	$83.22