Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $40.74 / $40.74	Professional		$21.38	$40.74	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $125.89 / $208.93	Facility		$57.54	$125.89	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $19.05	Professional		$11.48	$17.78	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $22.39 / $28.84	Professional		$9.12	$22.39	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.39 / $28.84	Facility		$13.18	$22.39	$28.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.30 / $36.31	Professional		$15.49	$26.30	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.91 / $20.42	Professional		$8.51	$8.91	$20.42