Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.88 / $73.95 / $150.47	Facility		$18.88	$73.95	$150.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $14.68 / $17.27	Professional		$11.32	$14.68	$17.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $83.35 / $135.33	Facility		$22.65	$83.35	$135.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.29 / $11.83	Professional		$7.72	$10.29	$11.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.18 / $8.18 / $8.18	Facility		$8.18	$8.18	$8.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $14.46 / $23.68	Professional		$7.95	$14.46	$23.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $15.10 / $24.61	Facility		$11.21	$15.10	$24.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $23.68	Professional		$12.58	$12.58	$23.68
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.43 / $7.72	Professional		$5.28	$7.43	$7.72