Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $139.08 / $496.32	Facility		$39.52	$139.08	$496.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $16.30 / $22.38	Professional		$12.23	$16.30	$22.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $107.97 / $175.31	Facility		$29.34	$107.97	$175.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.33 / $15.32	Professional		$10.00	$13.33	$15.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $10.60 / $10.60	Facility		$10.60	$10.60	$10.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $18.59 / $30.58	Professional		$10.28	$18.59	$30.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $8.97 / $8.97	Professional		$8.97	$8.97	$8.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $19.55 / $31.89	Facility		$14.52	$19.55	$31.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $16.30 / $30.58	Professional		$16.30	$16.30	$30.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $9.69 / $10.00	Professional		$6.85	$9.69	$10.00