Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $38.29 / $76.59	Facility		$19.14	$38.29	$76.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $30.64 / $164.16	Professional		$19.14	$30.64	$164.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $169.13 / $274.61	Facility		$45.96	$169.13	$274.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $20.88 / $24.00	Professional		$13.57	$20.88	$24.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $16.59 / $16.59	Facility		$16.59	$16.59	$16.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $29.32 / $47.85	Professional		$4.84	$29.32	$47.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $14.04 / $14.04	Professional		$14.04	$14.04	$14.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.37 / $28.08 / $44.29	Facility		$6.37	$28.08	$44.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $25.53 / $47.85	Professional		$4.84	$25.53	$47.85
United Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $25.53 / $25.53	Facility		$25.53	$25.53	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.19 / $15.65	Professional		$10.72	$15.19	$15.65