Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $47.73 / $94.35	Facility		$20.84	$47.73	$94.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.18 / $18.57 / $20.92	Professional		$14.18	$18.57	$20.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $105.00 / $171.09	Facility		$28.63	$105.00	$171.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $13.01 / $14.96	Professional		$9.76	$13.01	$14.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $10.34 / $10.34	Facility		$10.34	$10.34	$10.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $18.17 / $30.09	Professional		$9.97	$18.17	$30.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $19.09 / $31.11	Facility		$14.17	$19.09	$31.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $30.09	Professional		$15.91	$15.91	$30.09
United Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $9.40 / $9.75	Professional		$6.68	$9.40	$9.75