Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $31.60 / $63.21	Facility		$15.80	$31.60	$63.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $25.28 / $135.47	Professional		$15.80	$25.28	$135.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $116.31 / $188.84	Facility		$31.61	$116.31	$188.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.23 / $19.80	Professional		$17.23	$17.23	$19.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $13.70 / $13.70	Facility		$13.70	$13.70	$13.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $24.37 / $39.46	Professional		$13.25	$24.37	$39.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $11.59 / $11.59	Professional		$11.59	$11.59	$11.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.76 / $25.28 / $41.20	Facility		$18.76	$25.28	$41.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $39.46	Professional		$21.07	$21.07	$39.46
United Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.45 / $12.92	Professional		$8.85	$12.45	$12.92