Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $80.42	Facility		$29.64	$29.64	$80.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $14.47 / $16.30	Professional		$10.79	$14.47	$16.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.30 / $82.08 / $133.27	Facility		$22.30	$82.08	$133.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $10.14 / $11.65	Professional		$7.61	$10.14	$11.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Facility		$8.05	$8.05	$8.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $14.04 / $23.18	Professional		$7.79	$14.04	$23.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $6.81 / $6.81	Professional		$6.81	$6.81	$6.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $14.87 / $24.23	Facility		$11.04	$14.87	$24.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $12.39 / $23.18	Professional		$12.39	$12.39	$23.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.37 / $7.60	Professional		$5.20	$7.37	$7.60