Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $29.10 / $58.20	Facility		$14.55	$29.10	$58.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $23.28 / $124.74	Professional		$14.55	$23.28	$124.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.92 / $128.51 / $208.65	Facility		$34.92	$128.51	$208.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $15.87 / $18.23	Professional		$10.32	$15.87	$18.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $12.61 / $12.61	Facility		$12.61	$12.61	$12.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $22.30 / $36.50	Professional		$12.15	$22.30	$36.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $10.67 / $10.67	Professional		$10.67	$10.67	$10.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $23.28 / $37.95	Facility		$17.28	$23.28	$37.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $19.39 / $36.50	Professional		$19.39	$19.39	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.47 / $11.90	Professional		$8.15	$11.47	$11.90