Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $34.70 / $69.39	Facility		$17.35	$34.70	$69.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $27.76 / $148.72	Professional		$17.35	$27.76	$148.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.70 / $127.68 / $207.30	Facility		$34.70	$127.68	$207.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.38 / $21.41 / $34.03	Professional		$16.38	$21.41	$34.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Facility		$15.03	$15.03	$15.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $26.85 / $55.20	Professional		$20.62	$26.85	$55.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $12.72	Professional		$12.72	$12.72	$12.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.41 / $27.76 / $43.74	Facility		$21.41	$27.76	$43.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $23.13 / $57.65	Professional		$20.62	$23.13	$57.65
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.30 / $13.88	Professional		$9.71	$13.30	$13.88