Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $143.44	Facility		$47.12	$47.12	$143.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $23.22 / $124.42	Professional		$14.51	$23.22	$124.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $128.16 / $208.11	Facility		$34.83	$128.16	$208.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.83 / $18.19	Professional		$11.87	$15.83	$18.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $12.58 / $12.58	Facility		$12.58	$12.58	$12.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $22.30 / $36.50	Professional		$12.15	$22.30	$36.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $10.64 / $10.64	Professional		$10.64	$10.64	$10.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $23.22 / $37.86	Facility		$17.23	$23.22	$37.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $19.35 / $36.50	Professional		$19.35	$19.35	$36.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.51 / $11.87	Professional		$8.13	$11.51	$11.87