Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $42.56 / $52.89	Facility		$42.56	$42.56	$52.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $21.16 / $113.36	Professional		$13.22	$21.16	$113.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $116.80 / $189.65	Facility		$31.74	$116.80	$189.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $14.42 / $16.57	Professional		$10.82	$14.42	$16.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $11.46 / $11.46	Facility		$11.46	$11.46	$11.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $20.65 / $33.04	Professional		$11.06	$20.65	$33.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $9.69 / $9.69	Professional		$9.69	$9.69	$9.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $21.16 / $34.50	Facility		$15.71	$21.16	$34.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $17.63 / $33.04	Professional		$17.63	$17.63	$33.04
United Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $21.62 / $29.98	Facility		$14.78	$21.62	$29.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.49 / $10.82	Professional		$7.40	$10.49	$10.82