Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $53.20 / $115.24	Facility		$53.20	$53.20	$115.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $19.61 / $141.40	Professional		$16.48	$19.61	$141.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.59 / $145.66 / $236.52	Facility		$39.59	$145.66	$236.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.98 / $20.67	Professional		$13.49	$17.98	$20.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $14.29 / $14.29	Facility		$14.29	$14.29	$14.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $25.19 / $41.44	Professional		$13.87	$25.19	$41.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $26.39 / $43.02	Facility		$19.59	$26.39	$43.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $21.99 / $41.44	Professional		$21.99	$21.99	$41.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $13.49	Professional		$9.24	$13.19	$13.49