Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $30.08 / $60.15	Facility		$15.04	$30.08	$60.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $23.42 / $27.53	Professional		$23.19	$23.42	$27.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $110.68 / $179.70	Facility		$30.08	$110.68	$179.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $16.39 / $18.85	Professional		$10.66	$16.39	$18.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.03 / $13.03 / $13.03	Facility		$13.03	$13.03	$13.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $29.38 / $43.48	Professional		$21.30	$29.38	$43.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $31.08 / $32.68	Professional		$11.03	$31.08	$32.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $28.02 / $39.22	Facility		$17.86	$28.02	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.46 / $42.73	Professional		$20.05	$25.46	$42.73
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.85 / $12.29	Professional		$8.42	$11.85	$12.29