Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $34.20 / $59.50	Facility		$34.20	$34.20	$59.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $16.89 / $19.39	Professional		$12.77	$16.89	$19.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.41 / $90.38 / $151.82	Facility		$25.41	$90.38	$151.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.55 / $13.27	Professional		$8.66	$11.55	$13.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $9.18 / $9.18	Facility		$9.18	$9.18	$9.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.52 / $26.64	Professional		$8.88	$16.52	$26.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $7.77	Professional		$7.77	$7.77	$7.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.94 / $27.64	Facility		$12.59	$16.94	$27.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $26.64	Professional		$14.12	$14.12	$26.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $8.40 / $8.66	Professional		$5.93	$8.40	$8.66