Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $89.13	Facility		$28.18	$39.81	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.70 / $45.71	Professional		$25.12	$25.70	$45.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $346.74 / $562.34	Facility		$158.49	$346.74	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Professional		$30.90	$30.90	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.84 / $63.10	Facility		$25.70	$28.84	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.12 / $48.98	Professional		$22.91	$25.12	$48.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $74.13	Facility		$25.70	$26.92	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $28.84	Professional		$25.70	$25.70	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Professional		$25.70	$25.70	$27.54