Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $53.70 / $439.20	Facility		$13.43	$53.70	$439.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $21.48 / $115.10	Professional		$13.43	$21.48	$115.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $118.57 / $192.51	Facility		$32.22	$118.57	$192.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $14.64 / $16.82	Professional		$10.98	$14.64	$16.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $11.64 / $11.64	Facility		$11.64	$11.64	$11.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $20.65 / $33.54	Professional		$11.22	$20.65	$33.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $9.85 / $9.85	Professional		$9.85	$9.85	$9.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $21.48 / $35.03	Facility		$15.95	$21.48	$35.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $17.89 / $33.54	Professional		$17.89	$17.89	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.58 / $10.98	Professional		$7.52	$10.58	$10.98