Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.07 / $44.07 / $5,011.16	Facility		$44.07	$44.07	$5,011.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $28.55	Professional		$20.35	$20.55	$28.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.45 / $351.34 / $590.17	Facility		$102.45	$351.34	$590.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $24.02 / $36.67	Professional		$24.02	$24.02	$36.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $161.15	Facility		$20.35	$20.35	$161.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $95.61 / $143.41	Professional		$41.73	$95.61	$143.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.20 / $77.04	Facility		$19.05	$21.20	$77.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $66.73	Professional		$20.35	$20.35	$66.73
United Facility/Professional Facility Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Facility		$25.60	$25.60	$25.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $21.57	Professional		$20.35	$20.35	$21.57