Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $67.61	Facility		$30.90	$66.07	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $30.20	Professional		$13.18	$19.05	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $131.83 / $218.78	Facility		$61.66	$131.83	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $19.05	Professional		$10.96	$12.59	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $13.80 / $29.51	Professional		$5.62	$13.80	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.80 / $22.39	Facility		$11.48	$13.80	$22.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $22.91	Professional		$9.12	$16.22	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $18.62 / $18.62	Facility		$6.61	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.50 / $12.30	Professional		$5.25	$5.50	$12.30