Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $40.78 / $77.22	Facility		$22.10	$40.78	$77.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $24.80 / $32.00	Professional		$22.35	$24.80	$32.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $125.90 / $217.25	Facility		$36.36	$125.90	$217.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $26.69 / $27.38	Professional		$19.77	$26.69	$27.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Facility		$22.95	$22.95	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.68 / $24.68 / $24.68	Professional		$24.68	$24.68	$24.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.87 / $21.03 / $23.34	Facility		$11.87	$21.03	$23.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $25.14 / $25.14	Professional		$23.58	$25.14	$25.14