Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $85.00 / $105.64	Facility		$34.96	$85.00	$105.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $17.21 / $19.76	Professional		$13.05	$17.21	$19.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.91 / $95.33 / $154.78	Facility		$25.91	$95.33	$154.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $11.77 / $13.53	Professional		$8.83	$11.77	$13.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.35 / $9.35 / $9.35	Facility		$9.35	$9.35	$9.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $16.52 / $27.13	Professional		$9.03	$16.52	$27.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $7.91	Professional		$7.91	$7.91	$7.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $17.27 / $28.15	Facility		$12.82	$17.27	$28.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $27.13	Professional		$14.39	$14.39	$27.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $8.83	Professional		$6.04	$8.63	$8.83