Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.97 / $14.97 / $14.97	Facility		$14.97	$14.97	$14.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $19.55 / $22.90	Professional		$17.25	$19.55	$22.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.73 / $667.45 / $1,087.59	Facility		$262.73	$667.45	$1,087.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.91 / $25.41	Professional		$13.50	$16.91	$25.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $22.69 / $22.69	Facility		$22.69	$22.69	$22.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $27.47 / $33.56	Professional		$19.23	$27.47	$33.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $19.62 / $27.39	Facility		$16.62	$19.62	$27.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $29.25 / $50.32	Professional		$20.35	$29.25	$50.32
United Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $28.56 / $39.40	Professional		$19.97	$28.56	$39.40