Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $50.67	Facility		$22.80	$22.80	$50.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $20.27 / $108.60	Professional		$12.67	$20.27	$108.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $111.49 / $181.67	Facility		$30.41	$111.49	$181.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.37 / $13.82 / $15.88	Professional		$10.37	$13.82	$15.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.98 / $10.98 / $10.98	Facility		$10.98	$10.98	$10.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $21.46 / $27.13	Professional		$9.03	$21.46	$27.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $9.28 / $9.28	Professional		$9.28	$9.28	$9.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $16.05 / $20.27	Facility		$8.44	$16.05	$20.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $16.89 / $21.46	Professional		$14.70	$16.89	$21.46
United Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $17.64 / $25.34	Facility		$11.87	$17.64	$25.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $8.31 / $10.13	Professional		$7.09	$8.31	$10.13