Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $54.15 / $203.15	Facility		$13.54	$54.15	$203.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $21.66 / $116.06	Professional		$13.54	$21.66	$116.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $119.56 / $194.13	Facility		$32.49	$119.56	$194.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $14.76 / $16.97	Professional		$11.07	$14.76	$16.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $11.73 / $11.73	Facility		$11.73	$11.73	$11.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $20.65 / $34.04	Professional		$11.38	$20.65	$34.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $21.66 / $35.32	Facility		$16.07	$21.66	$35.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $34.04	Professional		$18.05	$18.05	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.67 / $11.07	Professional		$7.58	$10.67	$11.07