Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $31.90 / $63.81	Facility		$15.95	$31.90	$63.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $25.52 / $136.77	Professional		$15.95	$25.52	$136.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $117.41 / $190.63	Facility		$31.91	$117.41	$190.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $17.39 / $19.98	Professional		$17.39	$17.39	$19.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.83 / $13.83 / $13.83	Facility		$13.83	$13.83	$13.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $24.37 / $36.01	Professional		$12.00	$24.37	$36.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $11.70 / $11.70	Professional		$11.70	$11.70	$11.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $25.52 / $37.42	Facility		$17.04	$25.52	$37.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $21.27 / $36.01	Professional		$20.32	$21.27	$36.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.31 / $12.76	Professional		$8.93	$11.31	$12.76