Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $36.45 / $72.90	Facility		$18.23	$36.45	$72.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $29.16 / $156.25	Professional		$18.23	$29.16	$156.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $134.13 / $217.79	Facility		$36.45	$134.13	$217.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $19.88 / $19.88	Professional		$19.88	$19.88	$19.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $28.08 / $45.88	Professional		$15.27	$28.08	$45.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $13.37 / $13.37	Professional		$13.37	$13.37	$13.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.65 / $29.16 / $47.54	Facility		$21.65	$29.16	$47.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.30 / $45.88	Professional		$24.30	$24.30	$45.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $14.37 / $14.91	Professional		$10.21	$14.37	$14.91