Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $54.18 / $171.59	Facility		$13.55	$54.18	$171.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $21.08 / $116.13	Professional		$13.55	$21.08	$116.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $119.62 / $194.22	Facility		$32.51	$119.62	$194.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.08 / $14.77 / $16.98	Professional		$11.08	$14.77	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Facility		$11.74	$11.74	$11.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $20.65 / $34.04	Professional		$11.38	$20.65	$34.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $21.67 / $35.32	Facility		$16.07	$21.67	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $34.04	Professional		$18.05	$18.05	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.74 / $11.08	Professional		$7.59	$10.74	$11.08