Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $38.22 / $76.44	Facility		$19.11	$38.22	$76.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.11 / $30.58 / $163.84	Professional		$19.11	$30.58	$163.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $168.80 / $274.07	Facility		$45.87	$168.80	$274.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $20.84 / $23.95	Professional		$13.55	$20.84	$23.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $16.55	Facility		$16.55	$16.55	$16.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $29.32 / $47.85	Professional		$16.05	$29.32	$47.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $14.01	Professional		$14.01	$14.01	$14.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.99 / $26.13 / $44.29	Facility		$21.99	$26.13	$44.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $25.48 / $47.85	Professional		$19.87	$25.48	$47.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.15 / $15.62	Professional		$10.70	$15.15	$15.62