Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $60.26	Facility		$22.39	$32.36	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $28.84	Professional		$19.95	$20.89	$28.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $154.88	Facility		$42.66	$91.20	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.89 / $45.71	Facility		$15.14	$20.89	$45.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $23.44	Professional		$20.89	$20.89	$23.44