Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $35.40 / $70.80	Facility		$17.70	$35.40	$70.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $28.32 / $151.75	Professional		$17.70	$28.32	$151.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $148.01 / $253.82	Facility		$42.48	$148.01	$253.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $19.30 / $22.18	Professional		$12.55	$19.30	$22.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.34 / $15.34 / $15.34	Facility		$15.34	$15.34	$15.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $27.26 / $34.07	Professional		$10.28	$27.26	$34.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $12.98 / $12.98	Professional		$12.98	$12.98	$12.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $23.00 / $32.20	Facility		$14.66	$23.00	$32.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $23.60 / $31.08	Professional		$17.48	$23.60	$31.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $9.91 / $14.16	Professional		$9.50	$9.91	$14.16