Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $34.89	Facility		$18.59	$18.59	$34.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $18.92 / $27.91	Professional		$14.50	$18.92	$27.91
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 $16.87 / $16.87 / $27.59	Facility		$16.87	$16.87	$27.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $22.97 / $30.47	Professional		$10.46	$22.97	$30.47
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 $15.11 / $20.58 / $27.91	Facility		$15.11	$20.58	$27.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $23.26 / $30.47	Professional		$11.88	$23.26	$30.47
United Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $7.85 / $11.22	Professional		$6.36	$7.85	$11.22