Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $27.36 / $63.46	Facility		$27.36	$27.36	$63.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $13.46 / $15.46	Professional		$10.05	$13.46	$15.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $74.58 / $121.08	Facility		$20.27	$74.58	$121.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.21 / $10.58	Professional		$6.91	$9.21	$10.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $7.32 / $7.32	Facility		$7.32	$7.32	$7.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $13.22 / $21.21	Professional		$7.01	$13.22	$21.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $6.19 / $6.19	Professional		$6.19	$6.19	$6.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.02 / $13.51 / $22.02	Facility		$10.02	$13.51	$22.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $21.21	Professional		$11.26	$11.26	$21.21
United Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $6.76 / $6.90	Professional		$4.73	$6.76	$6.90