Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $33.44 / $85.43	Facility		$33.44	$33.44	$85.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.88 / $22.22	Professional		$12.30	$15.88	$22.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $116.13 / $199.15	Facility		$33.33	$116.13	$199.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $15.15 / $17.41	Professional		$11.36	$15.15	$17.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.04 / $12.04 / $12.04	Facility		$12.04	$12.04	$12.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $21.06 / $26.33	Professional		$8.57	$21.06	$26.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $10.19	Professional		$10.19	$10.19	$10.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $17.59 / $22.22	Facility		$12.11	$17.59	$22.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $18.52 / $20.72	Professional		$14.44	$18.52	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $8.09 / $11.11	Professional		$7.78	$8.09	$11.11