Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $45.60 / $56.91	Facility		$45.60	$45.60	$56.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.07 / $26.05	Professional		$12.33	$17.07	$26.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $125.64 / $203.99	Facility		$34.14	$125.64	$203.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.52 / $17.82	Professional		$11.64	$15.52	$17.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $12.33 / $12.33	Facility		$12.33	$12.33	$12.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $21.89 / $35.52	Professional		$12.00	$21.89	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $10.43	Professional		$10.43	$10.43	$10.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $22.76 / $37.11	Facility		$16.89	$22.76	$37.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $35.52	Professional		$18.97	$18.97	$35.52
United Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Facility		$18.97	$18.97	$18.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $11.21 / $11.63	Professional		$7.97	$11.21	$11.63