Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.11 / $1,583.84 / $1,958.96	Facility		$28.11	$1,583.84	$1,958.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.28 / $28.22	Professional		$18.10	$18.28	$28.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $66.66 / $108.63	Facility		$18.18	$66.66	$108.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $16.57 / $22.37	Professional		$16.57	$16.57	$22.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Facility		$18.11	$18.11	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $15.89 / $18.11	Facility		$11.71	$15.89	$18.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11