Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $47.88 / $60.72	Facility		$47.88	$47.88	$60.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $24.29 / $130.13	Professional		$15.18	$24.29	$130.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $134.08 / $217.70	Facility		$36.44	$134.08	$217.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $16.55 / $19.03	Professional		$12.42	$16.55	$19.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Facility		$13.16	$13.16	$13.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $23.54 / $37.97	Professional		$12.78	$23.54	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $11.13 / $11.13	Professional		$11.13	$11.13	$11.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $24.29 / $39.59	Facility		$13.16	$24.29	$39.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $20.23 / $37.97	Professional		$20.23	$20.23	$37.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $12.04 / $12.41	Professional		$8.50	$12.04	$12.41