Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $66.51	Facility		$43.32	$43.32	$66.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $26.60 / $142.55	Professional		$16.63	$26.60	$142.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $142.47 / $238.40	Facility		$39.90	$142.47	$238.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $18.14 / $20.84	Professional		$13.61	$18.14	$20.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $14.41	Facility		$14.41	$14.41	$14.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $25.61 / $34.04	Professional		$11.38	$25.61	$34.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $25.23 / $35.32	Facility		$16.07	$25.23	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $22.17 / $34.04	Professional		$19.18	$22.17	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $10.74 / $13.30	Professional		$9.31	$10.74	$13.30