Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.44 / $33.44 / $33.44	Facility		$33.44	$33.44	$33.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $16.46 / $88.22	Professional		$10.29	$16.46	$88.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $90.86 / $147.52	Facility		$24.69	$90.86	$147.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $11.22 / $12.90	Professional		$8.42	$11.22	$12.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.92 / $8.92 / $8.92	Facility		$8.92	$8.92	$8.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $15.69 / $25.65	Professional		$8.57	$15.69	$25.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $7.55 / $7.55	Professional		$7.55	$7.55	$7.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $16.46 / $26.81	Facility		$12.21	$16.46	$26.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $13.72 / $21.09	Professional		$13.72	$13.72	$21.09
United Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $12.35 / $12.35	Facility		$12.35	$12.35	$12.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.16 / $8.40	Professional		$5.76	$8.16	$8.40