Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $151.36 / $151.36	Facility		$69.18	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $46.77	Professional		$33.88	$42.66	$46.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $295.12 / $501.19	Facility		$104.71	$295.12	$501.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $43.65	Professional		$24.55	$38.02	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $56.23 / $56.23	Professional		$25.70	$56.23	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $43.65 / $56.23	Facility		$19.50	$43.65	$56.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $46.77	Professional		$24.55	$24.55	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $41.69 / $41.69	Facility		$10.47	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $27.54	Professional		$8.13	$8.13	$27.54