Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $88.05 / $165.75	Facility		$17.73	$88.05	$165.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $34.28 / $40.29	Professional		$25.39	$34.28	$40.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.83 / $194.41 / $315.66	Facility		$52.83	$194.41	$315.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $21.30 / $27.59	Professional		$12.49	$21.30	$27.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Facility		$19.07	$19.07	$19.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $33.86 / $66.76	Professional		$23.80	$33.86	$66.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $16.14 / $16.14	Professional		$16.14	$16.14	$16.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $35.22 / $57.40	Facility		$27.88	$35.22	$57.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.80 / $29.35 / $75.67	Professional		$23.80	$29.35	$75.67
United Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $29.35	Facility		$29.35	$29.35	$29.35
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.46 / $18.00	Professional		$12.33	$17.46	$18.00