Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $50.82 / $262.95	Facility		$25.41	$50.82	$262.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $18.63 / $22.28	Professional		$14.20	$18.63	$22.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.49 / $112.22 / $182.21	Facility		$30.49	$112.22	$182.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $13.86 / $15.94	Professional		$10.40	$13.86	$15.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $11.01 / $11.01	Facility		$11.01	$11.01	$11.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $19.41 / $32.06	Professional		$10.60	$19.41	$32.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $9.32 / $9.32	Professional		$9.32	$9.32	$9.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.01 / $20.32 / $33.14	Facility		$11.01	$20.32	$33.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $32.06	Professional		$16.94	$16.94	$32.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $10.39	Professional		$7.11	$10.16	$10.39