Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $27.43 / $54.84	Facility		$13.71	$27.43	$54.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $21.94 / $117.54	Professional		$13.71	$21.94	$117.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $100.91 / $163.83	Facility		$27.42	$100.91	$163.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $14.95 / $17.18	Professional		$9.72	$14.95	$17.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
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 $10.05 / $10.05 / $10.05	Professional		$10.05	$10.05	$10.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $21.94 / $35.76	Facility		$16.29	$21.94	$35.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $18.28 / $34.53	Professional		$18.28	$18.28	$34.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $10.97 / $12.25	Professional		$7.68	$10.97	$12.25