Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $13.60 / $54.15	Facility		$13.54	$13.60	$54.15
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 $10.75 / $25.53 / $34.04	Professional		$10.75	$25.53	$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 $11.73 / $17.14 / $21.66	Facility		$11.73	$17.14	$21.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $25.53	Professional		$18.05	$18.05	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.34 / $10.83	Professional		$7.58	$10.34	$10.83