Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $60.26	Facility		$38.02	$38.02	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $33.11	Professional		$12.88	$18.20	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $120.23 / $194.98	Facility		$53.70	$120.23	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $16.98	Professional		$10.96	$14.79	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.62 / $23.44	Professional		$16.98	$18.62	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $22.91	Professional		$10.00	$21.88	$22.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.95 / $27.54	Facility		$15.14	$19.95	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $18.20	Professional		$9.55	$9.55	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.22 / $16.22	Facility		$11.75	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $10.72	Professional		$7.59	$9.33	$10.72