Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $37.24 / $52.61	Facility		$22.94	$37.24	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.88 / $20.99	Professional		$13.01	$13.88	$20.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $101.29 / $164.46	Facility		$27.53	$101.29	$164.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $12.51 / $14.37	Professional		$9.38	$12.51	$14.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Facility		$9.94	$9.94	$9.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $17.35 / $28.61	Professional		$9.66	$17.35	$28.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $8.41	Professional		$8.41	$8.41	$8.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.62 / $18.35 / $29.93	Facility		$13.62	$18.35	$29.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $28.61	Professional		$15.29	$15.29	$28.61
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.03 / $9.38	Professional		$6.42	$9.03	$9.38