Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $18,620.87	Facility		$38.90	$54.95	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $36.31 / $50.12	Professional		$34.67	$36.31	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $251.19 / $416.87	Facility		$117.49	$251.19	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $77.62	Professional		$39.81	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $35.48 / $70.79	Facility		$30.20	$35.48	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $39.81	Professional		$35.48	$35.48	$39.81