Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $14.38 / $26.98	Facility		$14.38	$14.38	$26.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $14.69 / $21.58	Professional		$11.13	$14.69	$21.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $81.40 / $132.65	Facility		$32.04	$81.40	$132.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $13.05 / $21.25	Facility		$13.05	$13.05	$21.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $17.57 / $23.30	Professional		$8.09	$17.57	$23.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $1,500.00	Professional		$60.00	$60.00	$1,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $14.13 / $21.58	Facility		$9.52	$14.13	$21.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $17.98 / $25.84	Professional		$9.22	$17.98	$25.84
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $7.97 / $8.64	Professional		$4.09	$7.97	$8.64