Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $192.70 / $192.70	Facility		$44.10	$192.70	$192.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $19.70 / $45.51	Professional		$14.48	$19.70	$45.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $112.42 / $183.19	Facility		$30.66	$112.42	$183.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.45 / $13.93 / $16.01	Professional		$10.45	$13.93	$16.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $11.07 / $11.07	Facility		$11.07	$11.07	$11.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $19.82 / $32.06	Professional		$10.75	$19.82	$32.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $9.36	Professional		$9.36	$9.36	$9.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $20.44 / $33.32	Facility		$15.17	$20.44	$33.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $17.03 / $32.06	Professional		$17.03	$17.03	$32.06
United Facility/Professional Facility Modifier Low / Median / High Price $14.28 / $20.88 / $28.94	Facility		$14.28	$20.88	$28.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.22 / $10.45	Professional		$7.15	$10.22	$10.45