Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $45.60 / $115.75	Facility		$24.62	$45.60	$115.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $18.79 / $24.73	Professional		$16.80	$18.79	$24.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.83 / $124.48 / $202.10	Facility		$33.83	$124.48	$202.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.37 / $17.66	Professional		$11.53	$15.37	$17.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $12.21 / $12.21	Facility		$12.21	$12.21	$12.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $21.48 / $35.52	Professional		$11.84	$21.48	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $10.33 / $10.33	Professional		$10.33	$10.33	$10.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $22.55 / $36.76	Facility		$16.75	$22.55	$36.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $18.79 / $35.52	Professional		$18.79	$18.79	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.27 / $11.53	Professional		$7.89	$11.27	$11.53