Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $79.43	Facility		$36.31	$77.62	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $51.29	Professional		$18.20	$21.88	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $257.04	Facility		$72.44	$154.88	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $22.39	Professional		$14.79	$19.50	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $26.92 / $34.67	Professional		$10.96	$26.92	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $24.55 / $30.90	Facility		$15.49	$24.55	$30.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $26.92 / $43.65	Professional		$10.96	$26.92	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $21.88 / $21.88	Facility		$13.18	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.47 / $14.45	Professional		$10.00	$10.47	$14.45