Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $51.68 / $53.55	Facility		$21.41	$51.68	$53.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $25.69 / $137.66	Professional		$16.05	$25.69	$137.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $141.81 / $230.25	Facility		$38.54	$141.81	$230.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $17.51 / $20.13	Professional		$13.13	$17.51	$20.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.92 / $13.92 / $13.92	Facility		$13.92	$13.92	$13.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $24.37 / $40.45	Professional		$13.56	$24.37	$40.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Professional		$11.78	$11.78	$11.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $25.69 / $41.89	Facility		$19.07	$25.69	$41.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $21.41 / $40.45	Professional		$21.41	$21.41	$40.45
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $12.74 / $13.13	Professional		$8.99	$12.74	$13.13