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 $23.42 / $23.98 / $26.38	Professional		$23.42	$23.98	$26.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.09 / $132.81 / $215.64	Facility		$36.09	$132.81	$215.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.39 / $18.85	Professional		$12.30	$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 $17.98 / $30.71 / $49.58	Professional		$17.98	$30.71	$49.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $32.68 / $32.68	Professional		$31.08	$32.68	$32.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $30.82 / $39.22	Facility		$27.57	$30.82	$39.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $27.20 / $43.48	Professional		$23.06	$27.20	$43.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.58 / $12.29	Professional		$8.42	$11.58	$12.29