Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $43.63 / $87.24	Facility		$21.81	$43.63	$87.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $34.90 / $186.98	Professional		$21.81	$34.90	$186.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $160.52 / $260.63	Facility		$43.62	$160.52	$260.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Facility		$18.89	$18.89	$18.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $33.45 / $46.86	Professional		$15.74	$33.45	$46.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.99 / $15.99 / $15.99	Professional		$15.99	$15.99	$15.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $34.90 / $49.01	Facility		$22.32	$34.90	$49.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $29.08 / $46.86	Professional		$26.62	$29.08	$46.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $14.81 / $17.45	Professional		$12.21	$14.81	$17.45