Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $82.17 / $238.00	Facility		$20.54	$82.17	$238.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $32.86 / $176.12	Professional		$20.54	$32.86	$176.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.30 / $173.58 / $294.60	Facility		$49.30	$173.58	$294.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $22.41 / $25.75	Professional		$14.57	$22.41	$25.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $17.80 / $17.80	Facility		$17.80	$17.80	$17.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $31.80 / $39.75	Professional		$12.62	$31.80	$39.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.06 / $15.06	Professional		$15.06	$15.06	$15.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.91 / $28.09 / $39.33	Facility		$17.91	$28.09	$39.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $27.39 / $37.97	Professional		$21.36	$27.39	$37.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $11.96 / $16.43	Professional		$11.50	$11.96	$16.43