Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $62.01 / $341.10	Facility		$15.50	$62.01	$341.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $24.80 / $132.91	Professional		$15.50	$24.80	$132.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $136.90 / $222.27	Facility		$37.20	$136.90	$222.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $16.91 / $19.43	Professional		$12.68	$16.91	$19.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $13.44 / $13.44	Facility		$13.44	$13.44	$13.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $23.95 / $38.97	Professional		$13.09	$23.95	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $11.37 / $11.37	Professional		$11.37	$11.37	$11.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.41 / $24.80 / $40.45	Facility		$18.41	$24.80	$40.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $20.67 / $38.97	Professional		$20.67	$20.67	$38.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.30 / $12.68	Professional		$8.68	$12.30	$12.68