Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $52.66 / $105.33	Facility		$26.33	$52.66	$105.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.33 / $42.13 / $225.76	Professional		$26.33	$42.13	$225.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $28.72 / $33.00	Professional		$12.84	$28.72	$33.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $22.82 / $22.82	Facility		$22.82	$22.82	$22.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.60 / $31.57 / $50.59	Professional		$10.60	$31.57	$50.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $19.30 / $19.30	Professional		$19.30	$19.30	$19.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $33.35 / $42.13	Facility		$11.53	$33.35	$42.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $25.90 / $35.11	Professional		$17.85	$25.90	$35.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $9.78 / $9.78	Facility		$9.78	$9.78	$9.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $9.93 / $21.07	Professional		$7.79	$9.93	$21.07