Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $17.64 / $163.10	Facility		$13.60	$17.64	$163.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $28.90 / $28.90	Professional		$18.05	$28.90	$28.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $192.72 / $323.73	Facility		$54.18	$192.72	$323.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $19.70 / $22.64	Professional		$14.77	$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 $12.66 / $25.13 / $31.41	Professional		$12.66	$25.13	$31.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $36.11 / $36.11	Professional		$13.24	$36.11	$36.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $22.88 / $28.90	Facility		$15.65	$22.88	$28.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $24.08 / $27.08	Professional		$12.66	$24.08	$27.08
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $13.87 / $14.45	Professional		$10.11	$13.87	$14.45