Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $28.12 / $28.12	Facility		$28.12	$28.12	$28.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $15.41 / $29.06	Professional		$14.89	$15.41	$29.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.19 / $85.03 / $138.56	Facility		$23.19	$85.03	$138.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.90 / $10.54 / $12.11	Professional		$7.90	$10.54	$12.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.36 / $8.36 / $8.36	Facility		$8.36	$8.36	$8.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $14.87 / $24.17	Professional		$8.10	$14.87	$24.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.46 / $22.41	Facility		$11.48	$15.46	$22.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.88 / $24.17	Professional		$12.17	$12.88	$24.17
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.73 / $7.90	Professional		$5.41	$7.73	$7.90