Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $49.40 / $120.70	Facility		$49.40	$49.40	$120.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $18.11 / $130.66	Professional		$15.24	$18.11	$130.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $134.58 / $218.51	Facility		$36.57	$134.58	$218.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $16.62 / $19.11	Professional		$12.47	$16.62	$19.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $13.21 / $13.21	Facility		$13.21	$13.21	$13.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $23.54 / $37.97	Professional		$12.78	$23.54	$37.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Professional		$11.18	$11.18	$11.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $24.38 / $39.75	Facility		$18.10	$24.38	$39.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $37.97	Professional		$20.32	$20.32	$37.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.09 / $12.46	Professional		$8.52	$12.09	$12.46