Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $24.18 / $24.18	Facility		$24.18	$24.18	$24.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $37.13 / $138.13	Professional		$24.18	$37.13	$138.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.51 / $240.02 / $429.16	Facility		$71.51	$240.02	$429.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $39.39 / $46.94	Professional		$29.54	$39.39	$46.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $35.04	Professional		$24.62	$33.72	$35.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $49.32 / $73.98	Professional		$39.45	$49.32	$73.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $37.07	Facility		$14.11	$14.11	$37.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $56.10	Professional		$24.62	$33.72	$56.10
United Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $49.65 / $58.41	Facility		$49.65	$49.65	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $21.86 / $32.93	Professional		$19.85	$21.86	$32.93