Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $17.44 / $17.44	Facility		$17.44	$17.44	$17.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $17.02 / $69.23	Professional		$14.39	$17.02	$69.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $116.81 / $208.75	Facility		$34.79	$116.81	$208.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $19.17 / $22.84	Professional		$14.38	$19.17	$22.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $15.93	Facility		$15.93	$15.93	$15.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $13.54 / $16.96	Professional		$9.78	$13.54	$16.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $23.99 / $35.98	Professional		$19.19	$23.99	$35.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $6.57 / $18.04	Facility		$6.57	$6.57	$18.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.78 / $15.93 / $28.12	Professional		$9.78	$15.93	$28.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.18 / $15.33	Professional		$9.33	$10.18	$15.33