Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $32.94 / $65.88	Facility		$16.47	$32.94	$65.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $26.35 / $141.19	Professional		$16.47	$26.35	$141.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $145.44 / $236.16	Facility		$39.53	$145.44	$236.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $17.96 / $20.64	Professional		$13.47	$17.96	$20.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $14.27 / $14.27	Facility		$14.27	$14.27	$14.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $25.19 / $41.44	Professional		$13.87	$25.19	$41.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Professional		$12.08	$12.08	$12.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $26.35 / $42.95	Facility		$14.27	$26.35	$42.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $21.96 / $41.44	Professional		$21.96	$21.96	$41.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $13.18 / $13.47	Professional		$9.22	$13.18	$13.47