Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.71 / $58.71 / $58.71	Facility		$58.71	$58.71	$58.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $15.26 / $97.46	Professional		$14.68	$15.26	$97.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $107.34 / $175.40	Facility		$29.36	$107.34	$175.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $12.72	Facility		$12.72	$12.72	$12.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $14.57 / $25.78	Professional		$10.29	$14.57	$25.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.85 / $23.48	Facility		$18.59	$18.85	$23.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $15.31 / $19.57	Professional		$10.29	$15.31	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $8.11 / $11.74	Professional		$7.92	$8.11	$11.74