Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $21.07 / $39.54	Facility		$21.07	$21.07	$39.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $21.66 / $31.63	Professional		$16.30	$21.66	$31.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $156.49 / $262.87	Facility		$63.50	$156.49	$262.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $19.12 / $31.32	Facility		$19.12	$19.12	$31.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $26.13 / $34.65	Professional		$11.86	$26.13	$34.65
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 $14.05 / $21.07 / $31.63	Facility		$14.05	$21.07	$31.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $26.36 / $34.65	Professional		$13.60	$26.36	$34.65
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $11.88 / $12.73	Professional		$6.36	$11.88	$12.73