Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $58.88 / $436.52	Facility		$53.70	$58.88	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $20.89	Professional		$12.88	$15.85	$20.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $190.55	Facility		$46.77	$117.49	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $16.98	Professional		$10.96	$14.79	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.42 / $33.88	Professional		$11.22	$20.42	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.38 / $31.62	Facility		$15.85	$21.38	$31.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $27.54 / $44.67	Professional		$11.22	$27.54	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.22 / $16.22	Facility		$13.18	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $10.96	Professional		$7.59	$10.47	$10.96