Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $15.20 / $38.70	Facility		$15.20	$15.20	$38.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $15.48 / $82.95	Professional		$9.68	$15.48	$82.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $85.45 / $138.74	Facility		$23.22	$85.45	$138.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $10.55 / $12.13	Professional		$7.91	$10.55	$12.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $8.39 / $8.39	Facility		$8.39	$8.39	$8.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $14.87 / $24.17	Professional		$8.10	$14.87	$24.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.10 / $7.10	Professional		$7.10	$7.10	$7.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.49 / $15.48 / $25.21	Facility		$11.49	$15.48	$25.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $24.17	Professional		$12.90	$12.90	$24.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $7.67 / $7.91	Professional		$5.42	$7.67	$7.91