Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $41.04 / $112.71	Facility		$23.47	$41.04	$112.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $17.02 / $22.19	Professional		$15.04	$17.02	$22.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $118.68 / $192.69	Facility		$32.25	$118.68	$192.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $14.66 / $16.84	Professional		$11.00	$14.66	$16.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $11.65	Facility		$11.65	$11.65	$11.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $20.65 / $31.57	Professional		$10.60	$20.65	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $21.50 / $33.00	Facility		$15.02	$21.50	$33.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $17.92 / $31.57	Professional		$17.92	$17.92	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.02 / $10.75	Professional		$7.53	$10.02	$10.75