Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $84.34 / $129.96	Facility		$15.20	$84.34	$129.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $15.08 / $19.82	Professional		$10.56	$15.08	$19.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.15 / $94.71 / $162.22	Facility		$27.15	$94.71	$162.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.34 / $14.19	Professional		$9.26	$12.34	$14.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $9.80 / $9.80	Facility		$9.80	$9.80	$9.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $17.35 / $28.12	Professional		$9.51	$17.35	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $8.28 / $8.28	Professional		$8.28	$8.28	$8.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $18.10 / $29.48	Facility		$13.43	$18.10	$29.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $28.12	Professional		$15.08	$15.08	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $9.05 / $9.24	Professional		$6.33	$9.05	$9.24