Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.18 / $66.53 / $91.12	Facility		$30.18	$66.53	$91.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.01 / $45.58	Professional		$19.30	$22.01	$45.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $127.90 / $207.66	Facility		$34.76	$127.90	$207.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $15.80 / $18.14	Professional		$11.85	$15.80	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $12.55 / $12.55	Facility		$12.55	$12.55	$12.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.55 / $27.66	Professional		$10.16	$19.55	$27.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $23.17 / $23.17	Professional		$10.62	$23.17	$23.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $23.17 / $35.97	Facility		$18.34	$23.17	$35.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $19.30 / $19.55	Professional		$10.16	$19.30	$19.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.95 / $11.59	Professional		$8.11	$10.95	$11.59