Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $64.57 / $66.07	Facility		$30.20	$64.57	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $53.70	Professional		$12.88	$19.05	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $138.04 / $213.80	Facility		$60.26	$138.04	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $19.05	Professional		$12.30	$16.22	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $42.66	Professional		$17.78	$30.90	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $34.67 / $58.88	Facility		$17.78	$34.67	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $43.65	Professional		$17.78	$28.84	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $12.30	Professional		$8.51	$11.75	$12.30