Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $29.40 / $58.80	Facility		$14.70	$29.40	$58.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $23.42 / $26.91	Professional		$22.65	$23.42	$26.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.28 / $129.36 / $210.80	Facility		$35.28	$129.36	$210.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.03 / $18.43	Professional		$12.02	$16.03	$18.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $12.74 / $12.74	Facility		$12.74	$12.74	$12.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $22.72 / $37.00	Professional		$12.31	$22.72	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $10.78 / $10.78	Professional		$10.78	$10.78	$10.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $23.52 / $38.32	Facility		$17.45	$23.52	$38.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $19.60 / $37.00	Professional		$19.60	$19.60	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $11.66 / $12.01	Professional		$8.23	$11.66	$12.01