Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $33.44 / $65.48	Facility		$14.12	$33.44	$65.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $22.66 / $41.19	Professional		$14.12	$22.66	$41.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $139.16 / $238.67	Facility		$39.95	$139.16	$238.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $20.35 / $59.91	Professional		$12.21	$20.35	$59.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Facility		$12.60	$12.60	$12.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $26.01 / $56.39	Professional		$18.50	$26.01	$56.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $35.58	Professional		$32.34	$32.34	$35.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $24.82 / $28.78	Facility		$12.60	$24.82	$28.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $34.77 / $66.93	Professional		$19.39	$34.77	$66.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $22.83 / $38.69	Professional		$14.51	$22.83	$38.69