Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $57.12 / $227.38	Facility		$14.28	$57.12	$227.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $22.85 / $122.43	Professional		$14.28	$22.85	$122.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $126.13 / $204.79	Facility		$34.28	$126.13	$204.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $15.57 / $17.89	Professional		$10.11	$15.57	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $12.38 / $12.38	Facility		$12.38	$12.38	$12.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.89 / $35.52	Professional		$12.00	$21.89	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $22.85 / $37.24	Facility		$16.96	$22.85	$37.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $19.04 / $35.52	Professional		$19.04	$19.04	$35.52
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.33 / $11.67	Professional		$8.00	$11.33	$11.67