Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $25.28 / $47.44	Facility		$25.28	$25.28	$47.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $25.90 / $37.95	Professional		$19.67	$25.90	$37.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $405.71 / $681.51	Facility		$130.63	$405.71	$681.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $37.65	Facility		$22.94	$22.94	$37.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $31.08 / $41.22	Professional		$14.23	$31.08	$41.22
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 $19.22 / $27.16 / $37.95	Facility		$19.22	$27.16	$37.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $31.63 / $41.37	Professional		$16.26	$31.63	$41.37
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $10.32 / $15.31	Professional		$8.48	$10.32	$15.31