Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $48.21 / $48.21	Facility		$48.21	$48.21	$48.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $47.05 / $191.41	Professional		$18.16	$47.05	$191.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.90 / $452.58 / $845.52	Facility		$140.90	$452.58	$845.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.74 / $52.99 / $63.14	Professional		$39.74	$52.99	$63.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Facility		$39.86	$39.86	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $46.89	Professional		$33.88	$39.86	$46.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $97.17 / $145.75	Professional		$77.73	$97.17	$145.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $49.85	Facility		$18.16	$18.16	$49.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.89 / $77.73	Professional		$33.88	$46.89	$77.73
United Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $28.13 / $42.37	Professional		$25.40	$28.13	$42.37