Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $85.11	Facility		$30.90	$38.02	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $30.20	Professional		$19.05	$22.39	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $169.82 / $275.42	Facility		$66.07	$169.82	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $23.99	Professional		$13.49	$20.89	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $29.51 / $47.86	Professional		$4.79	$29.51	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $28.18 / $39.81	Facility		$16.60	$28.18	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $38.90 / $63.10	Professional		$11.48	$38.90	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $22.91	Facility		$19.05	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $15.49	Professional		$10.72	$15.14	$15.49