Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $54.95 / $56.23	Facility		$25.70	$54.95	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $61.66	Professional		$12.02	$15.85	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $186.21	Facility		$44.67	$112.20	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.47 / $16.22	Professional		$9.12	$10.47	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.95 / $32.36	Professional		$10.72	$19.95	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $30.20	Facility		$15.49	$20.42	$30.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $26.30 / $38.02	Professional		$10.72	$26.30	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.49 / $15.49	Facility		$12.59	$15.49	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $10.47	Professional		$7.24	$10.23	$10.47