Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $29.45 / $58.89	Facility		$14.72	$29.45	$58.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $23.56 / $126.22	Professional		$14.72	$23.56	$126.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.34 / $130.05 / $211.16	Facility		$35.34	$130.05	$211.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.05 / $18.45	Professional		$12.05	$16.05	$18.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $12.76 / $12.76	Facility		$12.76	$12.76	$12.76
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 $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $23.56 / $38.39	Facility		$17.48	$23.56	$38.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $19.63 / $29.97	Professional		$19.63	$19.63	$29.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.68 / $12.04	Professional		$8.24	$11.68	$12.04