Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.55 / $23.55 / $44.19	Facility		$23.55	$23.55	$44.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $24.15 / $35.35	Professional		$18.38	$24.15	$35.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.60 / $667.31 / $1,120.94	Facility		$187.60	$667.31	$1,120.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $21.37 / $35.04	Facility		$21.37	$21.37	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $28.83 / $38.22	Professional		$13.26	$28.83	$38.22
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 $14.79 / $23.68 / $35.04	Facility		$14.79	$23.68	$35.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $29.46 / $42.62	Professional		$15.16	$29.46	$42.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $11.87 / $14.25	Professional		$7.88	$11.87	$14.25