Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.39 / $111.17 / $189.88	Facility		$49.39	$111.17	$189.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $16.80 / $33.86	Professional		$13.10	$16.80	$33.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $110.88 / $180.68	Facility		$30.24	$110.88	$180.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $13.74 / $15.80	Professional		$10.31	$13.74	$15.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $10.92 / $10.92	Facility		$10.92	$10.92	$10.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $31.57	Professional		$10.60	$19.41	$31.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $20.16 / $20.16	Professional		$9.24	$20.16	$20.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.69 / $20.16 / $32.86	Facility		$14.69	$20.16	$32.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $16.80 / $31.57	Professional		$16.80	$16.80	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.00 / $10.30	Professional		$7.06	$10.00	$10.30