Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $70.79 / $131.83	Facility		$50.12	$70.79	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $3,548.13	Professional		$44.67	$50.12	$3,548.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $257.04	Facility		$72.44	$154.88	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $52.48	Professional		$38.02	$38.02	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $21.38 / $83.18	Facility		$19.50	$21.38	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $45.71	Professional		$39.81	$45.71	$45.71