Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $27.59 / $55.17	Facility		$13.79	$27.59	$55.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $22.07 / $118.25	Professional		$13.79	$22.07	$118.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $117.75 / $197.80	Facility		$33.11	$117.75	$197.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $15.04 / $17.29	Professional		$11.28	$15.04	$17.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.95 / $11.95 / $11.95	Facility		$11.95	$11.95	$11.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $21.06 / $34.53	Professional		$11.53	$21.06	$34.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $22.07 / $35.97	Facility		$15.80	$22.07	$35.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $18.39 / $34.53	Professional		$18.39	$18.39	$34.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.95 / $11.28	Professional		$7.72	$10.95	$11.28