Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $44.88 / $89.76	Facility		$22.44	$44.88	$89.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $26.80 / $192.39	Professional		$22.44	$26.80	$192.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $164.57 / $268.16	Facility		$44.88	$164.57	$268.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $24.47 / $34.70	Professional		$18.35	$24.47	$34.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.45 / $19.45 / $19.45	Facility		$19.45	$19.45	$19.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $34.28 / $55.57	Professional		$23.81	$34.28	$55.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Professional		$16.46	$16.46	$16.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $31.32 / $43.85	Facility		$21.41	$31.32	$43.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $29.92 / $57.78	Professional		$23.81	$29.92	$57.78
United Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $29.92 / $29.92	Facility		$29.92	$29.92	$29.92
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $13.25 / $17.95	Professional		$12.57	$13.25	$17.95