Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $95.76 / $138.61	Facility		$47.88	$95.76	$138.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $28.28 / $151.56	Professional		$17.68	$28.28	$151.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $155.60 / $253.55	Facility		$42.44	$155.60	$253.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $19.28 / $22.16	Professional		$14.46	$19.28	$22.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Facility		$15.32	$15.32	$15.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $27.26 / $37.00	Professional		$12.47	$27.26	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $12.96	Professional		$12.96	$12.96	$12.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.65 / $38.71	Facility		$17.62	$27.65	$38.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $23.57 / $37.00	Professional		$21.02	$23.57	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.77 / $14.14	Professional		$9.90	$11.77	$14.14