Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $79.43	Facility		$35.48	$35.48	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $32.36	Professional		$12.88	$19.95	$32.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $309.03	Facility		$74.13	$181.97	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $32.36	Professional		$16.98	$22.39	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $89.13	Facility		$64.57	$75.86	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $44.67	Professional		$25.70	$34.67	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $34.67	Professional		$32.36	$33.11	$34.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $67.61	Facility		$15.14	$25.70	$67.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $41.69	Professional		$22.91	$33.11	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $46.77	Professional		$17.38	$33.11	$46.77