Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.26 / $24.51 / $49.02	Facility		$12.26	$24.51	$49.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $19.61 / $105.07	Professional		$12.26	$19.61	$105.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $108.25 / $175.75	Facility		$29.41	$108.25	$175.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $13.37 / $15.36	Professional		$8.69	$13.37	$15.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $19.00 / $30.58	Professional		$10.28	$19.00	$30.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $8.99 / $8.99	Professional		$8.99	$8.99	$8.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $19.61 / $31.96	Facility		$14.56	$19.61	$31.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.34 / $16.34 / $30.58	Professional		$16.34	$16.34	$30.58
United Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $20.03 / $27.78	Facility		$13.70	$20.03	$27.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.80 / $10.02	Professional		$6.86	$9.80	$10.02