Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $55.76 / $167.20	Facility		$40.60	$55.76	$167.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $21.48 / $25.25	Professional		$16.39	$21.48	$25.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $115.34 / $197.80	Facility		$33.11	$115.34	$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 $16.38 / $22.07 / $35.97	Facility		$16.38	$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 / $11.03 / $11.28	Professional		$7.72	$11.03	$11.28