Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $36.54 / $73.11	Facility		$18.28	$36.54	$73.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $32.07	Professional		$29.16	$29.16	$32.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.86 / $161.40 / $262.06	Facility		$43.86	$161.40	$262.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $19.93 / $22.91	Professional		$14.95	$19.93	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $15.84 / $15.84	Facility		$15.84	$15.84	$15.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $28.08 / $45.88	Professional		$15.27	$28.08	$45.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $13.40 / $13.40	Professional		$13.40	$13.40	$13.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $29.24 / $47.67	Facility		$21.71	$29.24	$47.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $45.88	Professional		$24.37	$24.37	$45.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.50 / $14.95	Professional		$10.24	$14.50	$14.95