Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $60.26 / $63.10	Facility		$28.18	$60.26	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $61.66	Professional		$12.88	$16.98	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $109.65 / $169.82	Facility		$47.86	$109.65	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $35.48	Professional		$12.02	$21.88	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $22.91 / $33.11	Facility		$12.30	$22.91	$33.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $28.84 / $46.77	Professional		$12.02	$28.84	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $16.98	Facility		$14.13	$16.98	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $11.48	Professional		$7.94	$11.22	$11.48