Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $30.43 / $60.84	Facility		$15.21	$30.43	$60.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $24.34 / $130.40	Professional		$15.21	$24.34	$130.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.51 / $134.36 / $218.15	Facility		$36.51	$134.36	$218.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $16.59 / $19.05	Professional		$10.78	$16.59	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $23.54 / $37.97	Professional		$12.78	$23.54	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $11.15	Professional		$11.15	$11.15	$11.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $24.34 / $38.04	Facility		$18.05	$24.34	$38.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.28 / $37.97	Professional		$20.28	$20.28	$37.97
United Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $24.87 / $34.47	Facility		$17.00	$24.87	$34.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.07 / $12.44	Professional		$8.52	$12.07	$12.44