Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $31.63	Facility		$16.85	$16.85	$31.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $17.18 / $25.30	Professional		$13.20	$17.18	$25.30
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 $15.30 / $15.30 / $24.98	Facility		$15.30	$15.30	$24.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $20.72 / $27.48	Professional		$9.49	$20.72	$27.48
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 $13.78 / $18.52 / $24.98	Facility		$13.78	$18.52	$24.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $21.08 / $27.48	Professional		$10.79	$21.08	$27.48
United Facility/Professional Facility Modifier Low / Median / High Price $283.41 / $283.41 / $283.41	Facility		$283.41	$283.41	$283.41
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $8.46 / $10.16	Professional		$6.36	$8.46	$10.16