Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $94.26 / $98.39	Facility		$26.11	$94.26	$98.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $23.30 / $106.32	Professional		$22.11	$23.30	$106.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $159.88 / $285.83	Facility		$47.63	$159.88	$285.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.24 / $31.27	Professional		$19.68	$26.24	$31.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.13 / $22.13 / $22.13	Facility		$22.13	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $22.13 / $26.04	Professional		$18.80	$22.13	$26.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $32.85 / $49.27	Professional		$26.28	$32.85	$49.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $10.09 / $24.69	Facility		$10.09	$10.09	$24.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $26.04 / $36.71	Professional		$18.80	$26.04	$36.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $15.62 / $23.55	Professional		$14.12	$15.62	$23.55