Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $26.32 / $105.27	Facility		$20.26	$26.32	$105.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $33.52 / $42.11	Professional		$33.52	$33.52	$42.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $193.70 / $314.49	Facility		$52.64	$193.70	$314.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $28.70 / $32.97	Professional		$21.53	$28.70	$32.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $22.81	Facility		$22.81	$22.81	$22.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Professional		$18.45	$18.45	$18.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.10 / $57.20	Professional		$35.09	$42.10	$57.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $22.81 / $54.60	Facility		$22.81	$22.81	$54.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $42.11 / $50.79	Professional		$18.45	$42.11	$50.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.22 / $21.05	Professional		$14.74	$20.22	$21.05