Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $18.69 / $18.69	Facility		$18.69	$18.69	$18.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.28 / $15.60	Professional		$12.27	$12.28	$15.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $129.19 / $210.53	Facility		$50.86	$129.19	$210.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $15.06 / $19.09	Professional		$15.06	$15.06	$19.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $26.52	Facility		$12.28	$12.28	$26.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $23.15 / $32.89	Professional		$21.93	$23.15	$32.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $31.20	Facility		$12.28	$12.28	$31.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $31.16	Professional		$12.28	$12.28	$31.16
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $13.02	Professional		$12.28	$12.28	$13.02