Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $23.93 / $114.48	Professional		$23.81	$23.93	$114.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $164.10 / $293.50	Facility		$48.91	$164.10	$293.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $19.37	Facility		$19.37	$19.37	$19.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $19.37 / $28.04	Professional		$16.19	$19.37	$28.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $33.72 / $50.59	Professional		$23.61	$33.72	$50.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $10.86 / $25.35	Facility		$10.86	$10.86	$25.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $19.37 / $29.54	Professional		$16.19	$19.37	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $16.82 / $25.35	Professional		$15.19	$16.82	$25.35