Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $39.52 / $39.52	Facility		$39.52	$39.52	$39.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $18.80 / $28.98	Professional		$10.57	$18.80	$28.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $107.70 / $174.86	Facility		$29.27	$107.70	$174.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $13.30 / $15.28	Professional		$9.98	$13.30	$15.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.57 / $10.57 / $10.57	Facility		$10.57	$10.57	$10.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $18.59 / $30.58	Professional		$10.28	$18.59	$30.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $8.94	Professional		$8.94	$8.94	$8.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.48 / $19.51 / $31.81	Facility		$14.48	$19.51	$31.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $16.26 / $30.58	Professional		$16.26	$16.26	$30.58
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $9.67 / $9.97	Professional		$6.83	$9.67	$9.97