Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $32.18 / $32.18	Facility		$32.18	$32.18	$32.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $49.42 / $142.03	Professional		$29.55	$49.42	$142.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.40 / $447.78 / $836.56	Facility		$139.40	$447.78	$836.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $52.43 / $62.47	Professional		$39.32	$52.43	$62.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $31.92	Professional		$23.30	$31.92	$31.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $96.14 / $144.21	Professional		$76.91	$96.14	$144.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $49.32	Facility		$15.85	$15.85	$49.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $57.68	Professional		$23.30	$31.92	$57.68
United Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $24.56 / $36.99	Professional		$22.30	$24.56	$36.99