Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.08 / $82.08 / $122.09	Facility		$40.08	$82.08	$122.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $24.08 / $31.90	Professional		$19.73	$24.08	$31.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.35 / $159.53 / $259.02	Facility		$43.35	$159.53	$259.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.70 / $22.64	Professional		$14.78	$19.70	$22.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $15.65 / $15.65	Facility		$15.65	$15.65	$15.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $27.67 / $45.38	Professional		$15.12	$27.67	$45.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $13.24 / $13.24	Professional		$13.24	$13.24	$13.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.47 / $22.88 / $28.90	Facility		$20.47	$22.88	$28.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $25.59 / $37.00	Professional		$24.08	$25.59	$37.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.33 / $14.45	Professional		$10.11	$14.33	$14.45