Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.83 / $43.24 / $91.02	Facility		$21.83	$43.24	$91.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $14.55 / $19.14	Professional		$12.07	$14.55	$19.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $96.38 / $156.49	Facility		$26.19	$96.38	$156.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $11.90 / $13.68	Professional		$8.93	$11.90	$13.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $9.46 / $9.46	Facility		$9.46	$9.46	$9.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $16.93 / $27.13	Professional		$9.19	$16.93	$27.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $8.00 / $8.00	Professional		$8.00	$8.00	$8.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $17.46 / $28.46	Facility		$12.96	$17.46	$28.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $14.55 / $27.13	Professional		$14.55	$14.55	$27.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $8.73 / $8.93	Professional		$6.11	$8.73	$8.93