Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $69.18	Professional		$22.91	$42.66	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $338.84 / $575.44	Facility		$158.49	$338.84	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $60.26	Professional		$38.02	$51.29	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $93.33	Professional		$32.36	$32.36	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $95.50	Professional		$51.29	$63.10	$95.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $46.77 / $66.07	Facility		$17.38	$46.77	$66.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $70.79	Professional		$32.36	$32.36	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $64.57	Facility		$24.55	$24.55	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.92 / $40.74	Professional		$24.55	$26.92	$40.74