Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $35.46 / $70.92	Facility		$17.73	$35.46	$70.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $28.37 / $143.00	Professional		$17.73	$28.37	$143.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $156.60 / $254.27	Facility		$42.55	$156.60	$254.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $19.34 / $22.22	Professional		$14.51	$19.34	$22.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $15.37 / $15.37	Facility		$15.37	$15.37	$15.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $27.26 / $43.41	Professional		$14.49	$27.26	$43.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $28.37 / $45.26	Facility		$20.61	$28.37	$45.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $23.64 / $43.41	Professional		$23.64	$23.64	$43.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $13.77 / $14.19	Professional		$9.93	$13.77	$14.19