Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $33.44 / $33.44	Facility		$33.44	$33.44	$33.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.46 / $88.28	Professional		$10.30	$12.46	$88.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $86.13 / $147.69	Facility		$24.72	$86.13	$147.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.23 / $12.91	Professional		$8.42	$11.23	$12.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $8.92 / $8.92	Facility		$8.92	$8.92	$8.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $15.69 / $25.65	Professional		$8.57	$15.69	$25.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $7.55	Professional		$7.55	$7.55	$7.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $16.48 / $26.84	Facility		$12.23	$16.48	$26.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $21.09	Professional		$13.73	$13.73	$21.09
United Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $12.36 / $12.36	Facility		$12.36	$12.36	$12.36
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.11 / $8.42	Professional		$5.77	$8.11	$8.42