Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $27.55 / $55.11	Facility		$13.78	$27.55	$55.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $22.04 / $118.12	Professional		$13.78	$22.04	$118.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.06 / $121.66 / $197.53	Facility		$33.06	$121.66	$197.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.03 / $17.27	Professional		$9.77	$15.03	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Facility		$11.94	$11.94	$11.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $21.06 / $34.53	Professional		$11.53	$21.06	$34.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Professional		$10.10	$10.10	$10.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $22.04 / $35.92	Facility		$16.36	$22.04	$35.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $34.53	Professional		$18.37	$18.37	$34.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $11.02 / $11.26	Professional		$7.72	$11.02	$11.26