Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $40.65 / $81.33	Facility		$20.32	$40.65	$81.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $32.53 / $174.32	Professional		$20.32	$32.53	$174.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $146.26 / $242.97	Facility		$40.65	$146.26	$242.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $22.18 / $25.48	Professional		$14.42	$22.18	$25.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $17.62	Facility		$17.62	$17.62	$17.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $31.39 / $39.24	Professional		$31.39	$31.39	$39.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $27.11 / $27.11	Professional		$27.11	$27.11	$27.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $25.75 / $32.53	Facility		$14.37	$25.75	$32.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $27.11 / $27.11	Professional		$22.23	$27.11	$27.11
United Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $24.40 / $24.40	Facility		$24.40	$24.40	$24.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $11.39 / $16.27	Professional		$11.39	$11.39	$16.27