Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $31.21 / $62.43	Facility		$15.61	$31.21	$62.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $24.97 / $133.81	Professional		$15.61	$24.97	$133.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $114.87 / $186.51	Facility		$31.21	$114.87	$186.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $17.02 / $19.55	Professional		$11.06	$17.02	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.53 / $13.53 / $13.53	Facility		$13.53	$13.53	$13.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $23.95 / $38.97	Professional		$13.09	$23.95	$38.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $11.45	Professional		$11.45	$11.45	$11.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $19.77 / $24.97	Facility		$18.54	$19.77	$24.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.81 / $22.11 / $31.82	Professional		$20.81	$22.11	$31.82
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $13.94	Professional		$8.74	$12.49	$13.94