Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Facility		$43.32	$43.32	$43.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $23.70 / $126.99	Professional		$14.81	$23.70	$126.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $130.35 / $212.41	Facility		$35.54	$130.35	$212.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $16.16 / $18.57	Professional		$12.12	$16.16	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $12.84 / $12.84	Facility		$12.84	$12.84	$12.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $22.72 / $34.04	Professional		$11.38	$22.72	$34.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $10.86	Professional		$10.86	$10.86	$10.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $23.70 / $35.32	Facility		$16.07	$23.70	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.18 / $19.75 / $34.04	Professional		$19.18	$19.75	$34.04
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.14 / $30.68	Facility		$15.14	$22.14	$30.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $10.74 / $11.85	Professional		$8.30	$10.74	$11.85