Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $27.35 / $54.69	Facility		$13.67	$27.35	$54.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $21.88 / $117.22	Professional		$13.67	$21.88	$117.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $100.27 / $163.38	Facility		$27.34	$100.27	$163.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.85 / $11.85 / $11.85	Facility		$11.85	$11.85	$11.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $20.65 / $25.81	Professional		$8.26	$20.65	$25.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.43 / $25.80	Facility		$11.75	$18.43	$25.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $18.23 / $24.66	Professional		$14.01	$18.23	$24.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $7.85 / $10.94	Professional		$7.61	$7.85	$10.94