Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $51.68 / $63.78	Facility		$27.85	$51.68	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $20.20 / $29.19	Professional		$18.95	$20.20	$29.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $136.11 / $228.63	Facility		$38.27	$136.11	$228.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $17.39 / $19.98	Professional		$13.04	$17.39	$19.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.82 / $13.82 / $13.82	Facility		$13.82	$13.82	$13.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $24.37 / $39.96	Professional		$13.40	$24.37	$39.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $11.69 / $11.69	Professional		$11.69	$11.69	$11.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $25.51 / $41.58	Facility		$18.93	$25.51	$41.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $39.96	Professional		$21.26	$21.26	$39.96
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.76 / $13.04	Professional		$8.93	$12.76	$13.04