Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $66.07 / $151.36	Facility		$60.26	$66.07	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $42.66	Professional		$14.13	$18.20	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $218.78	Facility		$60.26	$141.25	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.60 / $19.05	Professional		$12.30	$16.60	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $38.02	Professional		$12.88	$22.91	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $32.36	Facility		$13.18	$22.39	$32.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $30.90 / $50.12	Professional		$12.88	$30.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.20 / $18.20	Facility		$14.79	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $12.30	Professional		$8.51	$12.02	$12.30