Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $30.23 / $60.45	Facility		$15.11	$30.23	$60.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $24.18 / $129.56	Professional		$15.11	$24.18	$129.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.27 / $132.99 / $216.71	Facility		$36.27	$132.99	$216.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $16.48 / $18.94	Professional		$10.71	$16.48	$18.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Facility		$13.10	$13.10	$13.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.91 / $25.90 / $34.53	Professional		$10.91	$25.90	$34.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $11.08 / $11.08	Professional		$11.08	$11.08	$11.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $19.14 / $24.18	Facility		$12.19	$19.14	$24.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $20.14 / $25.90	Professional		$20.14	$20.14	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.60 / $12.09	Professional		$8.46	$10.60	$12.09