Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $59.22 / $143.37	Facility		$14.81	$59.22	$143.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $23.69 / $126.93	Professional		$14.81	$23.69	$126.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $130.77 / $212.32	Facility		$35.54	$130.77	$212.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $16.14 / $18.55	Professional		$10.50	$16.14	$18.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.83 / $12.83 / $12.83	Facility		$12.83	$12.83	$12.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $22.72 / $37.00	Professional		$12.47	$22.72	$37.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $10.86	Professional		$10.86	$10.86	$10.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $23.69 / $38.63	Facility		$17.59	$23.69	$38.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $37.00	Professional		$19.73	$19.73	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $11.74 / $13.23	Professional		$8.28	$11.74	$13.23