Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.88 / $59.10	Facility		$47.12	$47.88	$59.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $22.92 / $126.67	Professional		$12.81	$22.92	$126.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $130.49 / $211.87	Facility		$35.46	$130.49	$211.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $16.11 / $18.52	Professional		$12.08	$16.11	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Facility		$12.81	$12.81	$12.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.72 / $37.00	Professional		$12.31	$22.72	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Professional		$10.84	$10.84	$10.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $21.67 / $38.39	Facility		$17.48	$21.67	$38.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.70 / $19.70 / $37.00	Professional		$19.70	$19.70	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.60 / $12.04	Professional		$8.27	$11.60	$12.04