Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $42.79	Facility		$22.80	$22.80	$42.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $34.22 / $34.22	Professional		$22.80	$34.22	$34.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.35 / $653.64 / $1,120.94	Facility		$181.35	$653.64	$1,120.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $30.74 / $40.99	Professional		$22.95	$30.74	$40.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.69 / $20.69 / $20.69	Facility		$20.69	$20.69	$20.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $26.85 / $33.56	Professional		$9.97	$26.85	$33.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.33 / $16.05 / $34.22	Facility		$3.33	$16.05	$34.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $17.64 / $33.11	Professional		$9.97	$17.64	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.86 / $19.70	Professional		$7.57	$8.86	$19.70