Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.67 / $25.67 / $113.48	Facility		$25.67	$25.67	$113.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $25.67 / $101.91	Professional		$18.01	$25.67	$101.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $159.88 / $285.83	Facility		$47.63	$159.88	$285.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $26.24 / $31.27	Professional		$19.68	$26.24	$31.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $21.22	Facility		$21.22	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $21.22 / $27.42	Professional		$18.04	$21.22	$27.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $32.85 / $49.27	Professional		$26.28	$32.85	$49.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.68 / $9.68 / $24.69	Facility		$9.68	$9.68	$24.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $24.96 / $35.18	Professional		$18.04	$24.96	$35.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $14.98 / $22.57	Professional		$13.52	$14.98	$22.57