Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $28.12 / $34.71	Facility		$28.12	$28.12	$34.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.88 / $74.40	Professional		$8.68	$13.88	$74.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $76.62 / $124.40	Facility		$20.82	$76.62	$124.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $9.46 / $10.88	Professional		$7.10	$9.46	$10.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $7.52 / $7.52	Facility		$7.52	$7.52	$7.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $13.22 / $21.70	Professional		$7.32	$13.22	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $6.36	Professional		$6.36	$6.36	$6.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $13.88 / $22.62	Facility		$10.30	$13.88	$22.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $11.57 / $21.70	Professional		$11.57	$11.57	$21.70
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.84 / $7.09	Professional		$4.86	$6.84	$7.09