Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $34.63 / $34.63	Facility		$34.63	$34.63	$34.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.76 / $28.63	Professional		$22.54	$22.76	$28.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $115.03 / $193.23	Facility		$46.68	$115.03	$193.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $19.68 / $35.36	Professional		$19.68	$19.68	$35.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $22.54 / $26.95	Facility		$22.19	$22.54	$26.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Professional		$22.54	$22.54	$22.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $29.10 / $37.72	Professional		$21.56	$29.10	$37.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $28.63	Facility		$22.54	$22.54	$28.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.95	Professional		$22.54	$22.54	$26.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $23.89	Professional		$22.54	$22.54	$23.89