Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $61.66 / $181.97	Facility		$25.12	$61.66	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $22.91	Professional		$14.45	$19.05	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $138.04 / $223.87	Facility		$53.70	$138.04	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $19.50	Professional		$12.88	$16.98	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $38.90	Professional		$13.18	$23.99	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $25.12 / $36.31	Facility		$18.62	$25.12	$36.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.62 / $52.48	Professional		$13.18	$31.62	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $18.62	Facility		$15.49	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $12.88	Professional		$8.71	$12.30	$12.88