Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $53.96 / $91.80	Facility		$48.21	$53.96	$91.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $12.22 / $69.00	Professional		$10.46	$12.22	$69.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $100.76 / $172.80	Facility		$28.92	$100.76	$172.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.15 / $15.11	Professional		$9.86	$13.15	$15.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $10.45 / $10.45	Facility		$10.45	$10.45	$10.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $18.59 / $23.23	Professional		$7.48	$18.59	$23.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $8.84 / $8.84	Professional		$8.84	$8.84	$8.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $16.76 / $23.46	Facility		$10.68	$16.76	$23.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $16.07 / $22.69	Professional		$12.74	$16.07	$22.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.14 / $9.64	Professional		$6.75	$7.14	$9.64