Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $32.84 / $32.84	Facility		$32.84	$32.84	$32.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $32.04 / $123.29	Professional		$27.16	$32.04	$123.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $36.20 / $43.06	Professional		$27.15	$36.20	$43.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.14 / $29.14 / $29.14	Facility		$29.14	$29.14	$29.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $31.98	Professional		$21.27	$29.14	$31.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $45.26 / $67.89	Professional		$36.20	$45.26	$67.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $11.45 / $29.69	Facility		$11.45	$11.45	$29.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $29.14 / $53.10	Professional		$21.27	$29.14	$53.10
United Facility/Professional Facility Modifier Low / Median / High Price $16.11 / $30.99 / $33.53	Facility		$16.11	$30.99	$33.53
United Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $19.19 / $30.38	Professional		$17.37	$19.19	$30.38