Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $53.79 / $700.40	Facility		$13.45	$53.79	$700.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $20.70 / $115.29	Professional		$16.51	$20.70	$115.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $118.79 / $1,159.59	Facility		$32.28	$118.79	$1,159.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $14.67 / $16.85	Professional		$11.00	$14.67	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $11.65 / $11.65	Facility		$11.65	$11.65	$11.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $22.94 / $30.58	Professional		$9.66	$22.94	$30.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $17.03 / $21.52	Facility		$14.88	$17.03	$21.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $17.93 / $22.94	Professional		$17.93	$17.93	$22.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $9.30 / $10.76	Professional		$7.53	$9.30	$10.76