Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $19.73 / $115.03	Professional		$15.95	$19.73	$115.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $204.00 / $381.13	Facility		$63.51	$204.00	$381.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.92 / $23.89 / $28.46	Professional		$17.92	$23.89	$28.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $22.18 / $22.18	Facility		$22.18	$22.18	$22.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $22.18	Professional		$16.19	$22.18	$22.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $43.80 / $65.70	Professional		$35.04	$43.80	$65.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $22.46	Facility		$9.63	$9.63	$22.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $22.18 / $41.73	Professional		$16.19	$22.18	$41.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $14.92 / $22.46	Professional		$13.54	$14.92	$22.46